| Student Information
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| First Name*
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| Last Name*
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| Birthdate (mm/dd/yyyy)*
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| Primary Instrument*
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| Please let us know any secondary instrument(s) if any. For example, piccolo, English horn, Eb clarinet, A clarinet, bass clarinet, C trumpet, cornet, bass trombone.
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| Email*
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| Mailing Address*
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| City*
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| State*
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| Zip*
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| Phone*
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| Grade This Coming Fall*
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| How did you find out about Symphoria Youth Orchestras?
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| Years of Study*
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| Private Music Teacher's Name
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| Private Teacher's Email
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| School Entering In Fall*
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| School District*
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| School Instrumental Music Teacher's Name*
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| School Instrumental Music Teacher's Email
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| Awards for music, competitions, activities, and camps you've attended
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| Contact Email Preferences
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| Please carefully confirm the email address for which we can send all official communication about audition times, schedules, and notifications to. Please note, this email may also be entered elsewhere on this registration form.
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| Confirm Primary Communication Email*
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| Parent/Guardian Information
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| First Name*
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| Last Name*
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| Email*
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| Phone*
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| Other Parent/Guardian Information
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| First Name
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| Last Name
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| Email
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| Phone
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| Audition Information
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| Composer of Solo Piece*
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| Title of Solo Piece*
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| Composer of Contrasting Piece (Levels V & VI Only)
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| Title of Contrasting Piece (Levels V&VI Only)
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| Level of your NYSSMA Solo from last year
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| NYSSMA Level of Audition Solo(s)*
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| Returning Student Audition Dates:
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| May 20, 2023 (Strings AM/PM)
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| May 21, 2023 (Strings AM, Winds/Brass PM)
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| New Student Audition Dates:
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| June 10, 2023 (Strings AM/PM)
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| June 11, 2023 (Strings AM, Winds/Brass PM)
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| Additional Audition Date:
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| August 12 (AM/PM)
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| Please indicate your preference for an AM or PM audition time, if applicable).
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| Audition Date Preference
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