Registration AcceptancePlease enable JavaScript in your browser to complete this form. - Step 1 of 3Name *FirstLastEmail *Do you accept your BRYO offer? *YesNoHow many people in your family are joining BRYO today? *1 (just me)234NextPlease skip this page if you are not accepting your positionPlayer 1 detailsName *FirstLastDate of Birth *Phone *Parent Name (if under 18)FirstLastParent Phone (if under 18)Parent Email (if under 18)Player 1 Medical DetailsMedicare Number *Private Health Fund (if you have one)Please select all that applyAllergiesMore info *AnaphylaxisMore info *Blood PressureMore info *DiabetesMore info *AsthmaMore infoEpilepsy/FaintingMore info *Heart ConditionMore info *PhobiasMore info *Other relevant medical information...Pain Relief Medication (if under 18)YesNoI give permission for my child to receive pain relief medication (Paracetamol/ Ibuprofen) by BRYO volunteers if requiredCode of Conduct *I agree to my responsibilities as a BRYO member as outlined in the welcome packPlayer 2 detailsName *FirstLastDate of Birth *Phone *2nd player Email (if different)Parent Name (if under 18)FirstLastParent Phone (if under 18)Player 2 Medical DetailsMedicare Number *Private Health Fund (if you have one)Please select all that applyAllergiesMore infoAnaphylaxisMore infoBlood PressureMore infoDiabetesMore infoAsthmaMore infoEpilepsy/FaintingMore infoHeart ConditionMore infoPhobiasMore infoOther relevant medical information...Pain Relief Medication (if under 18)YesNoI give permission for my child to receive pain relief medication (Paracetamol/ Ibuprofen) by BRYO volunteers if requiredCode of Conduct - Player 2 *I agree to my responsibilities as a BRYO member as outlined in the welcome packPlayer 3 detailsName *Date of Birth *Phone *3rd player Email (if different)Parent Name (if under 18)FirstLastParent Phone (if under 18)Player 3 Medical DetailsMedicare Number *Private Health fund (if you have one)Please select all that applyAllergiesMore info *AnaphylaxisMore info *Blood PressureMore info *DiabetesMore info *AsthmaMore info *Epilepsy/FaintingMore info *Heart ConditionMore info *PhobiasMore info *Other relevant medical information...Pain Relief Medication (if under 18)YesNoI give permission for my child to receive pain relief medication (Paracetamol/ Ibuprofen) by BRYO volunteers if requiredCode of Conduct - Player 3 *I agree to my responsibilities as a BRYO member as outlined in the welcome packPlayer 4 detailsName *FirstLastDate of Birth *Phone *4th player Email (if different)Parent Name (if under 18)FirstLastParent Phone (if under 18)Player 4 medical detailsMedicare Number *Private Health Fund (if you have one)Please select all that applyAllergiesMore info *AnaphylaxisMore info *Blood PressureMore info *DiabetesMore info *AsthmaMore info *Epilepsy/FaintingMore info *Heart ConditionMore info *PhobiasMore info *Other relevant medical information...Pain Relief Medication (if under 18)YesNoI give permission for my child to receive pain relief medication (Paracetamol/ Ibuprofen) by BRYO volunteers if requiredCode of Conduct - Player 4 *I agree to my responsibilities as a BRYO member as outlined in the welcome packPreviousNextPlease press 'Submit' to submit your rejection of your 2023 BRYO position.Media ConsentCheckboxes *I agree to the following terms:I hereby grant Brisbane Regional Youth Orchestra Inc., its directors, officers, employees, agents, and designees (collectively “BRYO”) non-revocable consent to all photographs, audio recordings, and/or video recordings in videotapes, motion pictures, recordings, or any other media (collectively “Media”) taken of me/my child/children by BRYO or their designee. I acknowledge that BRYO will own such Media and further grant BRYO permission to copyright, display, publish, distribute, use, modify, print and reprint such Media in any manner whatsoever related to BRYO business, including without limitation, publications, advertisements, brochures, web site images, or other electronic displays and transmissions thereof. I further waive any right to inspect or approve the use of the Media by BRYO prior to its use. I forever release and hold BRYO harmless from any and all liability arising out of the use of the Media in any manner whatsoever, and waive any and all claims and causes of action relating to use of the Media, including without limitation, claims for invasion of privacy rights or publicity. I hereby warrant that I am eighteen (18) years old or more and competent to contract in my own name or, if I am less than eighteen years old, that my parent or guardian has signed this release form below. This release is binding on me and my heirs, assignees and personal representatives.Digital Signature *Please enter your name, or if you are under 18 please ask your parent to enter their name.Date of Agreement *Special SkillsDo you (or any of your family members) have any special skills that could assist our orchestra?eg. Able to drive a truck, administration knowledge, library/archives, stage hand, etc2023 FeesFees must be paid in full by the first rehearsal on Monday 30th January, 2023. Fees are $500 for Symphony Orchestra and $450 for Scherzo Strings. There is a $50/year discount for 2nd and subsequent members of the same family.2023 Ensemble *Symphony OrchestraScherzo Strings2023 Ensemble - 2nd player *Symphony OrchestraScherzo Strings2023 Ensemble - 3rd player *Symphony OrchestraScherzo Strings2023 Ensemble - 4th player *Symphony OrchestraScherzo StringsTotal$ 0.00Address of Cardholder *Address Line 1Address Line 2CityState / Province / RegionPostal CodeAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryEmail for receipt *Enter Credit Card details *CardName on CardEmail *PreviousSubmit