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Prelude Strings Musician Registration Form - 2017-2018 Season
Please fill out this form completely. After you press submit your child will be successfully registered for the Prelude Strings program at the site you selected. We will send out confirmation emails a week before the program begins. Prelude Strings tuition fees will be due by the second week of the program. Payment may be mailed to the OAYO Office, 1905 Harney St., Suite 630, Omaha, NE 68102. Payment will also be accepted at the first rehearsal or by phone if using a credit card by calling the OAYO Office at 402.238.2044
Student's First Name *
Your answer
Student's Last Name *
Your answer
Instrument *
Your answer
Years of Playing the Instrument *
Your answer
Do you play an instrument with your school orchestra?
Your Child's T-Shirt Size *
All students receive a free Prelude Strings T-Shirt
Have you been in an OAYO program before? *
Phone number for family or student *
Your answer
Secondary phone number
Your answer
Primary E-Mail contact: *
Your answer
Secondary E-Mail contact:
Your answer
Third E-Mail contact:
Your answer
Address *
Your answer
City *
Your answer
State *
Zip *
Your answer
School District in which they live: *
School *
Your answer
Do you receive either free or reduced lunch at your school? *
Students on free or reduced lunch have their program fee waived. Please also provide us with a letter from your child's school or teacher.
Grade *
Your answer
Name of Teacher Who Recommended You for Prelude Strings *
Your answer
Names of Private Teachers, if any
(Not SchoolTeachers)
Your answer
Does any member of your family play an instrument or sing?
If so, what instrument and who?
i.e. Mother plays the piano.
Your answer
How do you listen to music?
Check all that apply within the last three months
Please Select Your Preferred Rehearsal Site
You child will be placed at the site you select unless we otherwise notify you. *PlLEASE NOTE THAT THE OMAHA CONSERVATORY OF MUSIC SITE WILL OFFER THIS PROGRAM FROM 12:30-2:30 PM. ALL OTHER SITES ARE FROM 10:30 AM TO NOON.
Rehearsal Sites Options *
Student Parent or Guardian Information
Father First Name *
Please type NA if not applicable.
Your answer
Father Last Name *
Please type NA if not applicable.
Your answer
Mother First Name *
Please type NA if not applicable.
Your answer
Mother Last Name *
Please type NA if not applicable.
Your answer
I am interested in carpooling opportunities for my child:
I believe the business/company that I work for may be interested in sponsoring or underwriting an Prelude Strings.
Please provide the contact information for the student’s grandparents, or a special family member of friend, so we may share event information with them
Grandparent First Name
Your answer
Grandparent Last Name
Your answer
Grandparents Address
Your answer
Grandparents City
Your answer
Grandparents State
Your answer
Grandparents Zip Code
Your answer
Grandparents Email Address
Your answer
Grandparents Phone Number
Your answer
Grandparent or other Relative First Name
Your answer
Grandparent or other Relative Last Name
Your answer
Grandparent or other Relative Address
Your answer
Grandparent or other Relative City
Your answer
Grandparent or other Relative State
Your answer
Grandparent or other Relative Zip Code
Your answer
Grandparent or other Relative Email Address
Your answer
Grandparent or other Relative Phone Number
Your answer
Required Signatures:
Student - I state that I meet the requirements described inthe Student Information Sheet and I want toregister for membership in the OAYO Prelude Strings. By clinking an X in the box I am assigning my signature and agreeing to the statement above. *
Required
Parent - I have read and understand the Student Information Sheet. I agree to the conditions of participation and give permission for my child to participate in the OAYO Prelude Strings. By clinking an X in the box I am assigning my signature and agreeing to the statement above. *
Required
Your Answers to the following questions are helpful but not required.
The following information will be used for statistical purposes only and will not affect your selection into the OAYO Prelude Strings.
Gender
Ethnic Description
Questions? Contact Rana Scarlett-Johnson at rana.scarlett-johnson@oayo.org or 402-238-2044
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