2021 EC Regional Orchestra Info Form
-Please complete a separate application for ALL students attending from your family.

-Your responses will be used to create address labels, name tags, etc so please avoid using all caps or all lowercase letters.

-The email address requested in the first question will be used for communication and to receive your registration receipt so please double check for accuracy.
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Email *
Student First Name *
Student Last Name *
Grade *
Please indicate grade during the 2021-22 school year
Name of School and District *
Director Name *
Instrument *
Do you take private lessons *
If yes, with whom?
Secondary e-mail
The email given at the beginning of the form is where all communication will be sent including your registration receipt. You may also add a secondary email here if you wish. This is not required but make sure the one given at the beginning of the form is one you will be able to check.
Phone Number *
T-Shirt Size *
Do you have any food allergies or dietary restrictions that we need to be aware of? *
(please check all that apply)
Please use this space if you need to describe your dietary restrictions further
Do you have any health concerns, activity restrictions that we need to be aware of? *
(please check all that apply)
If necessary, please use the space below to further describe any health concerns or activity restrictions
Photo Release Statement *
The OMEA East Central Region Orchestra is requesting permission to use your/your child’s photograph to promote the event. Please read the following statement and choose an option below. "I understand that the images may be used in print publications, online publications, presentations, websites, and social media. I also understand that no royalty, fee or other compensation shall become payable to me by reason of such use. If you choose to opt out this will not affect your/your child's placement in the camp, a particular orchestra, etc."
Thank you for filling out the EC Region Orchestra Info Sheet
Please make a note of these important dates

August 31: Notification of results to applicants and directors

October 15: Registration forms and payments are due

October 31 1-3pm: First rehearsal at Olentangy Orange High School (1-3pm)

November 20: Rehearsal at Ashland High School (9am-5pm)

November 21: Concert at Ashland High School (1pm rehearsal, 3pm concert)

By filling out this form I am certifying that I am able and committed to attend all of the rehearsals and performance. Exceptions will be made on a case-by-case basis. 

I understand improper behavior (as determined by OMEA site staff, and orchestra conductor), unsportsmanlike conduct, destruction of property, possession or use of any chemically controlled substance (including tobacco and alcohol) by any participant may lead to disqualification from Region Orchestra. No refunds will be given.

A copy of your responses will be emailed to the address you provided.
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