2026-27 Registration Form
New and returning members of PJSO and PYO must complete this form each season. Visit www.pocono-youth-orchestra.org for Handbook, Calendar, and more.
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Student LAST Name *
Student FIRST Name *
Student Age *
Student Grade in School  *
Student Email *
 (or email to receive rehearsal notes)
Student Address *
 House Number, Street, City, State, & Zip Code
Main instrument to be played in orchestra  *
Other instruments student plays
Student School *
School Music Director *
School Music Director Email Address
Private Music Teacher
Private Music Teacher Phone Number
Private Music Teacher Email Address
PRIMARY CONTACT *
Parent or Guardian Name, First and Last
Primary Contact Phone Number *
Primary Contact Email *
SECONDARY CONTACT
Parent or Guardian Name, First and Last [Optional]
Secondary Contact Phone Number
[Optional]
Secondary Contact Email
[Optional]
Where did you hear about us? *
Orchestra Level *
 (as determined by your entrance audition placement)
Required
Form of Payment and Due Date *
  • PJSO tuition: $360 by August 24, 2026. ($335 if registered/paid by Aug. 10, 2026)
  • PYO strings tuition: $450 by August 24, 2026 ($410 if registered/paid by Aug. 10, 2026)
  • PYO brass/woodwind/percussion tuition: $300 by November 16, 2026 ($275 if registered/paid by Aug. 10, 2026)
Checks may be mailed to PYO at P.O. Box 1101, Stroudsburg, PA 18360 to be received by the above due dates.

Cash or checks may be submitted in person at the parent/guardian meeting on Aug. 10th or immediately prior to the first rehearsal on Aug. 24th.
Media Agreement *
Please enter your INITIALS to acknowledge that you have read the following Photography, Video, and Audio Agreement.
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STUDENT SIGNATURE AND AGREEMENT: *
"By entering my NAME in the space below, I agree to abide by the rules and policies specified in the PYO Student Handbook." (Handbook is available at www.pocono-youth-orchestra.org.)
PARENT/GUARDIAN SIGNATURE AND AGREEMENT *
"By entering my NAME and TODAY'S DATE in the space below, I certify that the information entered above is true and accurate; I acknowledge and accept the 'Media Agreement' above; I agree to pay the tuition by the due date outlined in the 'Form of Payment and Due Dates' section above; and I understand that my student will not be admitted to rehearsals unless/until tuition has been paid."
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