Student Information
It is very important we have current student information on file for each participating musician. Students without this information on file will be unable to participate in rehearsals or concerts.
Student First Name *
Student Last Name *
Student Cell Phone Number
Student E-mail Address
Student Mailing Address *
Student Mailing Address City *
Student Mailing Address State *
Student Mailing Address Zip Code *
Parent Name *
Parent Phone Number *
Parent E-mail Address *
Parent #2 Name
Parent #2 Phone Number
Parent #2 E-mail Address
Ensemble *
Instrument(s) *
Name of School *
Grade *
Do you play in your school's band? *
Do you play in your school's orchestra? *
Number of years in WVYS *
Private Teacher's Name
Private Teacher's Phone Number
Private Teacher's E-mail Address
I hereby give my permission for my child’s name and/or photograph to be released to newspapers, radio stations, television stations or Internet web site for publicity purposes in conjunction with the WV Youth Symphony. *
I would like to be included in the WVYS Directory. *
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