Wake Forest Community Youth Orchestra Instrument Loan Agreement

Jesse L. Suggs, Jr. Chamber Ensemble (Prerequisite: Audition)

This ensemble is for students who have advanced technical skill, refined vibrato, demonstrate mastery shifting in 3rd-6th positions, and fortitude to practice on their own. Students are expected to practice and perform at a high level. At least 2-3 additional hours of practice is expected per week outside of class to master advanced chamber and orchestral literature written by diverse composers. Students will learn in-person on Tuesdays 6:00p.m. - 7:00p.m @ Wake Forest Baptist Church 107 South Ave Wake Forest, NC. 27587. Concert is on the last day of class @ 6:00p.m.
Which Session are you registering for?*

Fall 2025 (September 9, 2025 -December 9, 2025) *No Rehearsal November 25th
Attendance Expectation Acknowledgment*

Regular rehearsal attendance is important for your student to build confidence as they learn how to play with their ensemble and prepare for their final concert. We understand life happens, and circumstances may arise that are out of your control, but please make every effort to attend all scheduled rehearsals. Performing in the final concert on December 9th is also expected (more than 2 unexcused absences could prevent your student from participating in the concert). Thank you for your cooperation.
Registration Option*

IndividualFamily (multiple students)

Parent/Legal Guardian Name*

First NameLast Name
Parent Email*
example@example.com
Phone Number*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Student 1 Name*

First NameLast Name
Student 1 Non-school Email (for direct access to practice materials on Google Drive and organization announcements)
example@example.com
Grade*
Birthdate

MonthDayYear
Date
Does your child have a Blue WFCYO T-shirt?*

YesNo
What size T-shirt does your child need? (we are getting new shirts so all students will need a T-shirt) *
Which instrument does your child play?*
Do you need WFCYO to provide your child with an instrument for this class? (We do not charge for students to borrow instruments but will send a rental agreement via JotForm)*
How has the opportunity to borrow an instrument for your child, at no cost, influenced your family's experience with music? (This information will be used to help apply for future grants)*
If you are not borrowing an instrument please type NA
What size instrument does your child need? (leave blank if unsure)
Instrument Size
Would you (family member) like to learn an instrument or play along side your child? (We do not charge tuition for a family member to learn alongside an enrolled student)*

YesNo
Can you please share how learning an instrument alongside your child has impacted you as an adult?
This information will be used to apply for future grants
Family Member Name

First NameLast Name
If yes, which level would you (family member) be comfortable in?
If yes, Which instrument would you (family member) like to play?
Do you (family member) need WFCYO to provide you with an instrument for this class? (*There is a $30 rental fee*)
Do you (family member) have a Blue WFCYO T-shirt?(If you are playing in the concert)

YesNo
What is your (family member) T-shirt size (if you are playing in the concert)?
Student 2 Name

First NameLast Name
Student 2 Non-School Email (for direct access to practice materials on Google Classroom and organization announcements)
example@example.com
Grade
Birthdate

MonthDayYear
Date
Do you have a Blue WFCYO T-shirt?

YesNo
What size T-shirt does your child need? (we are getting new shirts so all students will need a T-shirt)
Which instrument does your child play?
Do you need WFCYO to provide you an instrument?
What size instrument does your child need? (leave blank if unsure)
Instrument Size
Student 3 Name

First NameLast Name
Student 3 Non-School Email (for direct access to practice materials on Google Classroom and organization announcements)
example@example.com
Grade
Birthdate

MonthDayYear
Date
Do you have a Blue WFCYO T-shirt?

YesNo
What size T-shirt does your child need? (we are getting new shirts so all students will need a T-shirt)
What instrument does your child play?
Do you need WFCYO to provide you with an instrument?
What size instrument does your child need? (leave blank if unsure)
Instrument Size
Do you grant WFCYO permission to photograph your child and use their likeness for marketing purposes (ie. Social media, website)?
YesNo
Statement of Impact

This information could be used to apply for future grants. This is optional but greatly appreciated.
Please share how you, your child and/or your family have been impacted by WFCYO.
*optional but greatly appreciated
Do we have your permission to use your “Statement of Impact” when applying for grants? All funds go towards WFCYO programs.

YesYes, please do not include namesNo, I'd rather you not
Payments made to WFCYO are non refundable. In the event that you are unable to attend a session that you have paid for, please contact WFYCO in writing prior to the start of the session. Where appropriate WFCYO will try to provide a prorated credit toward a future session that is offered.

Please select an option below*

Fall 2025 (September 9, 2025 -December 9, 2025) *No Rehearsal November 25th$190.00

WFCYO's Advanced Chamber Players are for students who have experience playing in advanced string duos, trios, and quartets. Students enrolling in this class must have advanced technical skill, refined vibrato, mastered shifting in 3rd-6th positions, and fortitude to practice on their own. The repertoire will include a mix of pop, contemporary, and classical music which requires advanced technical skill and ability. Students are expected to practice and perform at a high level. At least 2-3 additional hours of practice is expected per week outside of class to master the material. Students will learn in-person on Tuesdays 6:00p.m. - 7:00p.m. Concert is on the last day of class.

Quantity (please update if enrolling multiple children)
Item subtotal:$0.00

Private Lessons$200.00

This is an optional add on to receive 5 (60 minute) private lessons in addition to group instruction. The teacher and private lessons teacher will decide the time, day, and best format for lessons.

Quantity (please update for the # of people taking private lessons)

Family Member Instrument Rental Fee (not student)$30.00

Please select if you (family member) are renting an instrument from WFCYO to use during the current rehearsal session. Each session will require a new rental agreement sent via JotForm.

Quantity

Total $0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Should be Empty:

Jesse L. Suggs, Jr. Chamber Ensemble (Prerequisite: Audition)

Statement of Impact

Payments made to WFCYO are non refundable. In the event that you are unable to attend a session that you have paid for, please contact WFYCO in writing prior to the start of the session. Where appropriate WFCYO will try to provide a prorated credit toward a future session that is offered.