2026 FGBYO Spring Registration Form

Spring Registration Form

We will receive your registration form instantly via email, but please remember that your child's REGISTRATION IS NOT FINALIZED until we receive your registration fee. Payment of $200 per student ($25 discount for each additional family member) can be paid via PayPal @ www.fgbyo.com or mailed to: FGBYO P.O. Box 91103 Lake Charles, LA 70609. Arrangements can be made to deliver the registration fee in person at orientation.
Student Information
Student's Name*

First NameLast Name
Address*

Street Address

CityState / Province

Postal / Zip Code
Age*
Grade*
School*
Does this student know how to read music?*
Student's choice of Instrument*
Please indicate the status of this student's chosen instrument.*
Is this the first time this student is learning to play this instrument?*
If you selected "Other" as the choice of instrument, what instrument does this student play?
Parent or Guardian Information
Name*

First NameLast Name
Relationship to Student*
Best Contact Phone Number*
Please enter a valid phone number.
Best Email for all Communication*
example@example.com
How did you hear about our program?*
How do you plan on submitting payment of the registration fee?*
Emergency Contact Information
Additional Emergency Contact's Name*

First NameLast Name
Relationship to Student*
Emergency Contact's Phone Number*
Please enter a valid phone number.
Media Release

I give the Dr. Francis G. Bulber Youth Orchestra permission to include my child in various media related productions. These may include Facebook, adverstisements, newspaper articles/photos, recruitment pamphlets/fliers/brochures, local television interviews/filming (individually or with a group), and/or FGBYO's own webpage. I hereby give the Dr. Francis G. Bulber Youth Orchestra, Inc. permission to use my child's:
Media Release Permissions (choose all that apply):*

NamePhotograph
Attendance & Discipline Policies
Please read our Attendance Policy.
Please read our Discipline Policy
We, the parent and student member of the Dr. Francis G. Bulber Youth Orchestra acknowledge that we have read and agree to the:*

Attendance PolicyDiscipline Policy
Confirmation

I understand that I may contact a board member at any time if I have any questions or need any clarification about the program, its policies or procedures. By submitting this registration form, I am delivering an electronic signature that has the same effect and is binding as a manual, paper signature.
Name of Person Registering the Student*

First NameLast Name
Date*

MonthDayYear
Date
Should be Empty:

Spring Registration Form

Student Information

Parent or Guardian Information

Emergency Contact Information

Media Release

Attendance & Discipline Policies

Confirmation