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GO SO Registration Form 2018
Student Information
Student's Last Name *
Your answer
Student's First Name *
Your answer
Street Address *
Your answer
City *
Your answer
5-digit Zip Code *
Your answer
Which orchestra? *
Required
Which instrument? *
Required
Grade:
Your answer
Age: *
Your answer
Name of School 2018-19 :
Your answer
Are you enrolled in your school orchestra? (required at least one semester per year) *
Required
Name of Private Teacher for Your Instrument:
Your answer
Student’s email:
Your answer
Parent’s email (required) : *
Your answer
Parent’s email (optional):
Your answer
Names of Parents/Guardians: *
Your answer
Phone: *
Your answer
Agreement
I realize that a lot of work and dedication on the part of both the child and the parent/guardian will be necessary to realize the goals of the Gold and Silver Orchestras. By becoming a member, I will attend and be on time for all rehearsals and other activities—including Rock Springs and all other events listed on the schedule—of the Gold or Silver Orchestra unless there is a good excuse allowed in advance by Mr. Toll or Mrs. Toll. I understand that I am expected to practice my orchestra music outside of rehearsals.

I agree to the above statement. Two people sign below.

Student’s Signature *
Your answer
Parent’s Signature *
Your answer
Tuition & Rock Springs Fee
Tuition + t-shirt: $150 due June 10 with signed registration form and health form.
Rock Springs Fee: $145* due by August 25 (two nights, 5 meals, facilities rental, tax) Both fees ($295) may be paid together and with one check. All payments may be made in installments as long as the deadline is met. Unless you move from the Manhattan area before rehearsals begin, there is no tuition refund if you drop out once rehearsals begin.
Enclosed is a check for $
Your answer
Check No.
Your answer
Date of Check:
MM
/
DD
Sending the Printed Form & Check
You will receive a PDF copy of your response by email. Please print the PDF copy and send it with a check for the tuition payable to “Gold Orchestra” by June 10 to:

Dr. David Littrell 7145 Cedar Creek Rd. Manhattan KS 66502-8321 dlitmus@k-state.edu

Checks for any GO/SO related payment should always be payable to the Gold Orchestra whether you are in the GO or SO, never to me personally.

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