Salem Youth Symphony

2013-2014

PLAYER PROFILE

Mozart Players

Turn in this form to Joyce Epp or conductor

Amadeus Players

See website for medical, enrollment, & volunteer forms

Philharmonia

P.O. Box 1113, Salem, OR 97308; www.salemyouthsymphony.org Youth Symphony *****************************************************

First name:___________________________ Last name:____________________________ Male:__Female:__ Sept. 2013 Age:____ Sept. Grade:____ Instrument:__________________ Main Phone:_____________________________________________ OK to text? Yes No Optional student cell:_____________________________________ OK to text? Yes No Mailing address: _________________________________________________ Street

City

_______________ Zipcode

School:______________________ Orchestra/Band Director:_____________________________ _______ I particpate in my school orchestra/band as required to participate in SYSA. _______ My school does not have an orchestra/band.

Private music teacher: ________________________ Other instruments:__________________ Have you been in SYSA before?_________How long in each group? Mozart_____ Amadeus _____ Philharmonia _____ Youth Symphony _____ ***************************************************** Family Contact Information

Parent/Guardian Name: ____________________________________________________ Phones:________________________________________________ OK to Text? Yes No Employer/Position:__________________________________________________________ Parent/Guardian Name:______________________________________________________ Phones:________________________________________________ OK to text? Yes No Employer/Position:__________________________________________________________ COMMUNICATION: We use email to communicate with SYSA families. Please list all email addresses where you would like to receive SYSA memos. Name:__________________________Email address ______________________________ Name:__________________________Email address:______________________________ Optional student:________________Email address:______________________________ ********************* ******************************** T-shirt size: Youth S M L Adult: S M L XL XXL Office use: med____ enroll____ vol___ fee____