Symphony Registration Symphony Registration Section 1 Youth First Name * Youth Last Name * Youth Email * Youth Cell Phone * (###) ### #### Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Section 2 What is your age? * What grade are you in? * 8th grade 9th grade 10th grade 11th grade 12th grade What school do you attend? * T-Shirt Size * XS S M L XL Special diet/medical concerns * What ward do you belong to? * If not a member of The Church of Jesus Christ of Latter-day Saints, please write NONE. What stake do you belong to? * If not a member of The Church of Jesus Christ of Latter-day Saints, please write NONE. Section 3 Instrument * Violin Viola Cello String Bass Flute Piccolo Clarinet Oboe Bassoon French Horn Euphonium Trumpet Trombone Tuba Harp Keyboard/Piano Percussion: Timpani Percussion: Other Instrument Not Listed How many years have you played your instrument? * 1-2 3-4 5-6 7-8 9-10 10+ Do you have a private teacher? If so, who? * Are you involved in orchestra or band at school? * Yes No What scale will you play for your audition? * What solo piece will you play for your audition? * Section 4: Parent Information Father's Name * First Name Last Name Father's Email * Father's Cell Phone * (###) ### #### Mother's Name * First Name Last Name Mother's Email * Mother's Cell Phone * (###) ### #### Section 5: Rehearsal Conflict Please fill out this section regarding your anticipated attendance status for all meetings, sectionals, and rehearsals, whether you have any scheduling conflicts or not. Remember to review the ZYSC Attendance Policies. Sept 15, 6-8:30pm - Welcome Fireside * Present Late Absent Please list reason for being late or absent. Oct 1, 6-9pm - Sectionals * Present Late Absent Please list reason for being late or absent. Oct 10, 6-9pm - Sectionals * Present Late Absent Please list reason for being late or absent. Oct 15, 6-8:30pm - Rehearsal * Present Late Absent Please list reason for being late or absent. Oct 17, 6-8:30pm - Rehearsal * Present Late Absent Please list reason for being late or absent. Oct 18, 6-8:30pm - Rehearsal * Present Late Absent Please list reason for being late or absent. Oct 19, 9am-12pm - Rehearsal * Present Late Absent Please list reason for being late or absent. Oct 22, 6-8:30pm - Rehearsal * Present Late Absent Please list reason for being late or absent. Oct 24, 6-8:30pm - Rehearsal * Present Late Absent Please list reason for being late or absent. Oct 29, 6-8:30pm - Rehearsal * Present Late Absent Please list reason for being late or absent. Oct 31, 6-8:30pm - Rehearsal * Present Late Absent Please list reason for being late or absent. Nov 1, 6-8:30pm - Rehearsal * Present Late Absent Please list reason for being late or absent. Nov 2, 2-9pm - Dress Rehearsal * DRESS REHEARSAL IS REQUIRED FOR PARTICIPATION Present Please list reason for being late or absent. Section 6- Release General Release * I understand that participation in ZYSC activities and services is voluntary, requires participants to abide by applicable rules and standards of conduct, and involves a certain degree of risk and can be physically, mentally, and emotionally demanding. I give permission for my child/youth to participate and release ZYSC, its contracted service provider(s), volunteers, related parties, and other organizations associated with ZYSC activities and services from any and all claims services from any and all claims for bodily injury or damage to personal property arising out of this participation. I agree Photo Release * In connection with any ZYSC activity or service, I hereby grant permission to ZYSC and its contracted service provider(s) and any adult volunteers to take, edit, compile, publish and/or otherwise use any photographs, videos, or other electronic representations and/or recordings of my child/youth, including on the website, in promotional materials, or on any audiovisual recordings, without any right to compensation. I agree Medical Release * In connection with any ZYSC activity or service, I hereby grant permission to ZYSC, its contracted service provider(s), and/or any adult volunteers to administer or otherwise approve medical treatment which may be deemed advisable in the event of injury resultant from my child's participation in ZYSC, such instances are to include but not be limited to injuries that arise as a result of fainting or in the course of travel to or from any ZYSC activity. I agree Liability Release * I hereby assume all of the risks of participating in any/all of the activities associated with ZYSC, including but not limited to, any bodily injury or damage to personal property that may arise from my participation in ZYSC and/or the acts or omissions on the part of the entities or persons affiliated with ZYSC being released. I agree Parent/Guardian * Your signature on this page indicates that you understand and will comply, and help your youth to comply, with all ZYSC standards, rules, and authorizations. Please type in your name. Thank you. Your registration is complete.
