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   S.o.s - Registration Form

Bidding Time:
28/06/2008 23:11 - 01/07/2008 23:11
Budget:
N/A
Status:
Closed


Job Type:
PHP, Perl/CGI, Java, XML, MySQL
Description:



I need a registration form completed for people to enter their details and an
email get's sent to one email address.
This is the page it will be posted on
http://www.singanewsong.org.nz/kotuku_files/sos.htm
Here is the outline of what needs to be included.
Registration forms: SOS REGISTRATION

Name: Mr, Miss, Mrs, Ms. First name, Surname

Postal Address; Email; telephone / cellphone

Ethnicity:

Individual / Community represented (e.g. Family, Company,
Organisation, Cultural Group, Church etc)

Age Band: 10 - 14 years, 15 - 20, 20's, 30s, 40's, 50's, 60 +.

Reason for singing hope: e.g. supporting community, standing beside friends,
.....
(room for a long sentence)

Chosen rehearsal venue: (circle or tick or whatever)

Wednesday 13th August 6:30 - 8:30 p.m. Lower Hutt venue to be advised

Thursday 14th August 6:30 - 8:30 p.m. Upper Hutt Heretaunga College Hall.

Friday 15th August 6:30 - 8:30 p.m. Piano Shop Plimmerton

Saturday 16th August 2:00 - 4:30 p.m. Wellington City venue to be advised

Sunday 17th August - THE BIG SOS 1:30 - 5:00 p.m. FOR EVERYONE. THE
HAPPENING!!!!

I am living in Wellington / I am travelling to Wellington for the weekend to
sing from _______________.

I understand that in registering I am committing to attending the evening
rehearsal and taking part in the SOS massed sing out on Sunday 17th August. I
also understand that there will be no audience, we are all there to be the
difference by singing out clearly and cooperatively as one heart under the
direction of Simon Toyne, David Price, Paul Sojo and the leaders and choir of
Kotuku. This is a gentle, inspirational massed chorus family of New Zealanders
gathering with respect and dignity for each other to sing hope and record what
that looks and sound like, not to be used for any political or personal gain. It
is also a once in a lifetime freely given opportunity to learn from
international choral directors on voice technique, sing in other languages and
record a CD and DVD with them for the betterment of humanity.

I understand that in registering I am giving my permission to be filmed as part
of the singing rehearsal and SOS massed sing out onto DVD, onto still
photographs and recorded onto CD for all to be released as the SOS song of
hope.

I acknowledge that:

Any funds generated from the sales of the DVD, CD, photographs and
inspirational writings, or any other part of the long term effects of SOS will
go into the Kotuku Music Academy Support Charitable Trust for the purposes of
funding this event, the concert and any further ongoing SOS outcomes, and
building Kotuku as an early intervention youth initiative.

All Copyrite including all the music and performance generated during and from
SOS is owned by Kotuku Music Academy Support Trust.

I give permission / do not give permission for my personal contact details to be
used for notifying me of further hope initiatives (e.g. the concert on 1st
November final details).

Kotuku Music Academy Support Trust gives you an assurance that your personal
details are confidential and will not be passed to any other Agency.

By ticking this box I am signing this and confirm the accuracy of what I have
stated above.

NAME: (tick box)

DATE:

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