Youth Orchestra Application

Please complete the form below:

First Name	*	Last Name*
Address	*
City	*	State*- - Choose One - - AL AK AZ AR CA CO CT DC DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY
Zip	*
Email Address	*
Phone 1	*	Phone 2
Instrument	*
Years of study on instrument
Date of birth	*	Grade in school* 9 10 11 12
(enter grade at time of application or if during summer, give grade for next fall)
School	*
The Wilmington Symphony Youth Orchestra was organized as a supplement but not replacement for school music programs. You are strongly encouraged to participate in your school's orchestra or band.
School ensemble
School music teacher
Private music teacher
Parent first name	*	Parent last name*
Parent phone	*
Parent e-mail	*
Parent employer
On occasion, photos or videotape images may be taken of the Youth Orchestra and Junior Strings in rehearsal and in concert for possible use by the news media or the Wilmington Symphony for routine publicity and educational purposes only. By submitting this application you as parent or guardian indicate your permission of such.
Comments and/or audition date preference
Security Code	*