Philharmonic Association Registration

Musician’s Email Address:
 Parent Email Address:
Musician’s name:
First Name		 Last Name
Parent’s name:
First Name
 Last Name
Musician’s name as to appear on program or web site:
First Name
 Last Name
Street Address:
 City:
State:
 Zip code:
Phone:
Instrument:
 Years played:
School [2008-09]:
 Grade [2008-09]:
Will you play in school band or orchestra in 2008-09? YesNo
If not, please explain: List previous ensemble experience:
School music teacher [2008-09] (only if you participate in program):
First Name		 Last Name
Private music teacher [2008-09](for instrument auditioning on only):
First Name		 Last Name
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: TYP or TYO on Monday nights; TYS or TYJE on Tuesday Nights;
[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
Musician’s signature:
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