Youth Music Illinois Application
For the 2019-2020 season
Student First Name *
Your answer
Student Last Name *
Your answer
Student Email *
Your answer
Student Phone Number
Your answer
Guardian Name (1) *
Your answer
Guardian Name (2) *
Your answer
Guardian Email *
Your answer
Guardian Phone Number *
Your answer
Student Address (Street, City, Zip) *
Your answer
School name (August 2019) *
Your answer
Grade in school (August 2019) *
Your answer
Primary Instrument *
Your answer
Number of years played *
Your answer
Do you play any other instruments? (please list)
Your answer
Group(s) you are applying/auditioning for (select all that apply) *
Required
My $25 nonrefundable application fee will be submitted:
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