DCA Piano & Orchestra High School Registration Form

High School Registration Form

Please complete this form. It will help us stay organized as a team while including all of the logistics needed to productively set for concert.
For the official Broward School registration please apply online: https://www.browardschools.com/schoolchoice
Date Submitting Application*

MonthDayYear
Date
Student/Performer's Full Name*

First NameLast Name
Student/Performer's Phone Number*
Student/Performer's Email*
example@example.com
Parent/Guardian or Emergency Contact's Full Name*

First NameLast Name
Parent/Guardian or Emergency Contact's Phone Number*
Please enter a valid phone number.
Parent/Guardian or Emergency Contact's Email*
example@example.com
Tell us a little bit about yourself:
1. What do you think is the most important aspect of making music in an orchestra or as a soloist?*
2. What motivates you to be part of Dillard Center for the Arts, and what do you hope to gain from this experience?*
Media Release Form 2024-2025:

As a parent of a student in Broward County Public Schools or any private institution, I understand that my child may be photographed, videotaped, or interviewed by a private media group, news media, or the school district for informational and/or promotional purposes. I acknowledge that these images and interviews may be used on the District's website, in school district publications, and in external (non-school-related) publications and electronic media, as indicated below:
Section A. External Outlets/Media:*

I WILL permit my child to be photographed, videotaped, and/or interviewed by the media when the news media has secured proper authorization from Broward County Public Schools.
Section B. Broward County Public Schools:*

I WILL permit my child to be photographed, videotaped, and/or interviewed for school publications, such as school yearbooks, school newspapers, class pictures, school and/or District websites, social media, BECON TV, or for other communication tools by Broward County Public Schools or its approved vendors. I understand the District may be required to release this information if requested by the media or other members of the public (i.e., public records requests). Note: Your home address, phone number, email address, child’s name, teacher’s name, and room number may be released in order to facilitate school-based publications.
Student/Performer Volunteer Signature

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Parent/Guardian Signature*

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What Instrument will you be Auditioning for?*

ViolinViolaCelloDouble BassPianoOther
Does the student take private lessons?

YesNo
If yes, Please share the contact information for your private instructor. Our school collaborates directly with your teacher to ensure your development is exponential and addresses the specific needs required for you to grow as a soloist and/or overall musician

First NameLast Name
Private Instructor's Phone Number
Please enter a valid phone number.
DCA String Marathon - 2501 NW 11th St Fort Lauderdale, FL, 33311
Dcastrings.com
Should be Empty:

High School Registration Form

For the official Broward School registration please apply online: https://www.browardschools.com/schoolchoice