orchestra
chamber music
jazz

Please list your name as you would like it to appear in the concert program. Bring this form to your audition.

Participant information:
First Name: Last Name

Address:

City State Zip

County of residence:

Home phone: cell: email:

Instrument: Years played:

Male Female

Birth Month: 1 2 3 4 5 6 7 8 9 10 11 12 Day: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 Grade (as of 9/01/08) College 12 11 10 9 8 7 6 5 4

**If you are home-schooled, check here and skip the next three lines: I am home-schooled
School you attend: School district:
Do you participate in your school music program? (check all that apply) YES orchestra band
other ( )

Your school music teacher: orchestra band other ( )
Private teacher: phone: email:
List other instruments you play:
List any participation in music groups outside of school and MAYO:

List any musical honors, scholarships, and/or awards:_

Please check one: African-American Native American Asian Caucasian Hispanic Multi-Racial
Other:

Anything else you would like to mention:

Parent/guardian information:
Mother’s/guardian’s First Name: Last Name
Address:

City State Zip

Mother/Guardian Employer: Work Phone:

Home phone: cell: email:

Father’s/guardian’s First Name: Last Name

Address:

City State Zip

Father/Guardian Employer : Work Phone:

Home phone: cell: email: