Youth Music Illinois Application 2020-2021
Student Last Name *
Student First Name *
Student Primary Instrument *
What other instruments do you play, if any? *
Student's Private Lesson Teacher *
Student Age *
Student School *
Student Grade in Fall, 2020 *
How have you paid/will you pay your registration fee? *
What is the highest level of orchestra/ensemble for which you are auditioning? *
Guardian Name(s) *
Student Street Address *
Student City, Zip *
Student Phone Number *
Guardian Phone Number *
Student email address *
Guardian email address *
Were you referred by another student? *
If yes, please type their name here:
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This form was created inside of Central Illinois Youth Symphony.