Kaleidoscope Registration Form

Donate Now

School Name*(Required)

School Postcode(Required)

Phone(Required)

School Region(Required)

School Type(Required)

School Sector(Required)

Contact Name(Required)

Contact Email(Required)

Contact Position(Required)

Principal

Other – write in required

Other(Required)

What elements would you like to include in your 10 week program(Required)

Individual sessions for at-risk students

Small group sessions for groups of at-risk students

Whole class sessions

Community Arts Projects involving students and community members

Not sure

Select the artform focuses you would be interested in exploring(Required)

Visual Arts

Music

Drama

Dance

Not sure

Select the goals you would like the program to focus on with students(Required)

Developing self-expression

Improving self-regulation

Increasing self-esteem and confidence

Developing social awareness

Improving collaboration and relationship skills

Building school-connectedness

How many students would you like to participate in this program(Required)

Is there anything else you would like to let us know about your school community or your goals for the program?

Keep in touch

Keep up to date with The Song Room news

Name(Required)

Email(Required)

I have read and agree to the Terms and Privacy Policy

Contact UsSchool Enquiries
We acknowledge the traditional owners of the lands on which we work, create and learn. We pay our respects to their Elders past and present and walk with Aboriginal and Torres Strait Islander Peoples towards recognition and reconciliation.

The Song Room is a Public Benevolent Institution. All donations $2 and over are tax deductible in Australia.