Metropolitan Area Youth Symphony Application for 2022-23 Season

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Section 1: Please provide your information below. MAYS does not share this information with other parties.

Student First Name *

Student Last Name *

Birth date *

YYYY

Grade in 2021-22 School Year:

Contact Email Address *

MAYS uses extensive use of email to contact students and parents, so please provide an email address where you'd like to have us contact you (please also check your address for accuracy).

Alternate Email Address

School for 2022-23

Primary Instrument *

Secondary Instrument (if applicable)

How long has student played primary instrument?

Parent/ Guardian Name (#1) *

Parent/ Guardian Name (#2)

Primary Contact/ Billing Address *

City, State Zip ( For Primary Contact/ Billing Address) *

Other Address (if applicable)

City, State, Zip (for other address if applicable)

Preferred Contact Phone Number for Parent/ Guardian *

Other Contact Phone Number for Parent/ Guardian

Emergency Contact Name *

Emergency Contact Phone Number *

Please check one: *

The above student has permission to be photographed for publicity purposes

The above student does NOT have permission to be photographed for publicity purposes

Required

Private Teacher Name

Private Teacher Address (for receiving free MAYS tickets and other MAYS information)

Private Teacher Phone Number

Private Teacher Email

Please enter your private teacher's email address so we can keep them posted on MAYS events and provide free concert tickets!

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