NIYS Student Registration 2019-2020
Tell us about your young musician.
Student's First Name: *
Your answer
Student's Last Name: *
Your answer
Student's personal (non-school) email address
Your answer
Student's Current School
Your answer
Grade level this Fall *
Is your student currently enrolled in their school's music program (Band, Orchestra, choir etc...) *
Your answer
Street Address *
Your answer
City, State, Zip Code
Your answer
Student's cell number, if applicable (we use the Remind app to reach out frequently to our members): *
Your answer
Current Orchestra or New Member? *
Which Orchestra does your student want to be placed in? All placements are at the Conductor's discretion regardless of past orchestra participation. This is to ensure all students are in the best fitting environment to learn and progress. *
Primary instrument your child plays: *
What is your student's shirt size? (1st time members only)
Does your child take private lessons? *
If yes, please list your child's private instructor:
Your answer
Does your child have any allergies? *
If Yes, please list allergies, severity/reaction, and treatment:
Your answer
Please list other siblings participating in NIYS (each member must have all registration forms filled in and submitted in order to qualify for sibling discount):
Your answer
I consent for my child to be photographed and/or video taped during practice and/or performances. These images are used for publicity, recruiting, and on our website. *
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