Musician’s Email Address:
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Parent Email Address:
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Musician’s name:
First Name |
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Last Name |
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Parent’s name:
First Name
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Last Name
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| Musician’s name as to appear on program or web site: |
First Name
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Last Name
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Street Address:
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City:
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State:
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Zip code:
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Phone:
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Instrument:
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Years played:
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School [2011-12]:
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Grade [2011-12]:
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| Will you play in school band or orchestra in 2011-12? YesNo |
| If not, please explain: |
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List previous ensemble experience: |
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School music teacher [2011-12] (only if you participate in program):
First Name |
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Last Name |
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Private music teacher [2011-12](for instrument auditioning on only):
First Name |
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Last Name |
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| I have read and agree to abide by the conditions in the Musicians Handbook |
| I agree that the decisions of the adjudicators are final |
I am available for rehearsals: TYS or TYO on Monday nights; TYP on Tuesday Nights; TYJE on Sunday afternoons
[Check all that apply] |
| I wish to be considered for TYP TYS TYO TYJE [Check all that apply] |
| I am available for all dress rehearsal/concert dates for TYP TYS TYOTYJE [Check all that apply] |
| I agree that if I am placed in one of the ensembles that I have indicated, I will participate |
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Musician’s signature:
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