AYC Music Program Registration AYC Music Program Registration If you are human, leave this field blank. First Name Surname Date of Birth Age Gender Residential Address Suburb Postcode Preferred Contact Number Alternate Contact number Email I would like to join the AYC mailing list and receive regular updates on local activities and opportunities Yes No Photo Authorisation I authorise Auburn Youth Centre staff and volunteers to take my photo for use in AYC publications and for purposes to promote the centre and related programs, and understand these photos will be used in media Register
