Chamber Music Application Form

COMPLETE THE 2021-2022 FORM

Welcome to WYSO’s online Chamber Music application form. Please note that all required fields are indicated with an * (asterisk) symbol. Call WYSO at 608-733-6283 if you have any questions about this form or the Chamber Music Program.

Student Name*

Student Email*

Student Home Phone*

Student Cell Phone

Instrument*

Please choose your WYSO Orchestra*

The Chamber Program is not open to Opus One members.

Private Teacher

Private Teacher Email

Primary Contact Information

Name*

Phone*

Email

Does Primary Contact live at a different address than the student?*

Yes

No

Address*

Secondary Contact Information

Name

Phone

Email

Does Secondary Contact live at a different address than the student?

Yes

No

Address

Audition video link:*

A video recording is required to place you in a group. Please record 2-3 minutes of a solo piece of your choice. Paste a link to your video-recorded audition. Make sure the proper permissions are set for the director and coaches to view your video.

Are you interested in being a WYSO Chamber Ambassador?*

Yes

No

Please select one:*

Please assign me to a chamber music group

I would like to be placed with the following friends

List Friend's First & Last Name(s)*

Emergency Contact Information

This Emergency Contact cannot be the Primary or Secondary Contact. The emergency contact information is only used in the case WYSO cannot get ahold of the Primary or Secondary Contact during an emergency.

EMERGENCY CONTACT NAME*

Cannot be same as Primary or Secondary. See explanation above.

EMERGENCY CONTACT'S RELATIONSHIP TO THE MEMBER*

EMERGENCY PHONE*

CELL (IF DIFFERENT THAN EMERGENCY PHONE)

Email address you would like confirmation email sent to:*

Comments

This field is for validation purposes and should be left unchanged.