Together We Are A Symphony

Together We Are A Symphony
Registration Form
Participant Name (Student)

First NameLast Name
Age
Sex

MaleFemale
Date of Birth

MonthDayYear
Date
Phone Number
Please enter a valid phone number.
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Grade Level
School Year
School Name
Music Teacher's Name
What instrument do you play?
What genre of music are you interested in playing?
How long have you been playing?
Have you taken private lessons? For how long?
Are you/have you ever been involved in music programs in your school? For how long?
Have you every been involved in any outside music programs ? Name of Program and for how long?
Parent/Guardian's Information (If under 18 years of age)
Parent/Guardian's Name - Primary

First NameLast Name
Phone Number - Primary
Please enter a valid phone number.
Parent/Guardian's Name - Secondary

First NameLast Name
Phone Number - Secondary
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Name of Persons that will be picking the participants up from rehearsals/performances etc. #1

First NameLast Name
#2

First NameLast Name
#3

First NameLast Name
In case of emergency, who will be notified? Please answer the fields below:
Emergency Contact Person

First NameLast Name
Emergency Phone Number
Please enter a valid phone number.
Health History
If the student have any allergies, please list them down below:
Does the student currently taking any medications? If yes, please list them down below:
Reminders
SCHEDULES. All schedules will be sent out via email. Each ensemble will be assigned a coach/teacher. All Participants and Participants families will receive contact information for on site.

LOCATIONS. All rehearsals will be taking place either at Bridgeview Park District in Bridgeview or Magical Keys Institute of Music in Palos Hills.

COMMUNICATION. Magical Keys Admin Team of Together We Are A Symphony will always be communicating via email unless emergencies arise; communication will revert to telephone.

REQUIREMENTS. Participants must be playing on their instrument for a minimum of 2 years before signing up.

ATTENDANCE. Every participant must be at every scheduled rehearsal. Only two excused absences are allowed for the whole academic scheduled year. Excused absences must be notified 48 hours before unless emergency arises day of.

BEHAVIOR. A certificate of good moral is required in order to get admitted to this program. This program is open to all youth and adults who have the passion for music and collaborating with others.

RESPECT. Respecting each others instruments and materials and respecting each others opinions throughout the collaboration is expected in this program. If the teacher or coach of the ensemble of participant rules there have been bad behavior or disrespect towards others, there will be consequences such as restrictions from performing and attending program rehearsals.

PAYMENT. All payments should be paid the 1st week of every month at rehearsal via in person or online for the entire month of rehearsal. If payments are late, there will be a $15 fee late fee.

INSTRUMENTS. Every participant is responsible for providing their own instrument. There will be multiple pianos on site already.
Parent/Guardian Signature

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Date
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Together We Are A Symphony

Registration Form

Parent/Guardian's Information (If under 18 years of age)

Health History

Reminders