Returning Student Registration

Returning Student Registration
Fall SemesterSpring Semester
Student's Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Parent or Guardian Name*

First NameLast Name
Phone Number (If Different)
Please enter a valid phone number.Format: (000) 000-0000.
Email (If Different)
example@example.com
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Parent/Guardian Registration Authorization, Waiver and Consent Form
AUTHORIZATION AND ACKNOWLEDGEMENT: By signing this I, the legal parent/guardian acknowledge that the PYO 1st Semester Registration form previously completed may be used for the PYO 2nd Semester Registration, and I will be bound by my agreement to its terms for student's PYO membership as well. I represent that all information provided in the PYO 1st Semester Registration form remains accurate and complete and that I have the legal authority to provide consent on behalf of my child for registration with the Prescott Youth Orchestra.
Signature

Clear
Should be Empty:

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