Registration Form

2020-2021 WYSO Member Registration Form

Congratulation on your acceptance into WYSO for the 2020-2021 season.

All members must complete the registration form by September 5, 2020. (The information collected below is only accessed by WYSO staff and is not distributed to any outside parties.) Please be prepared to include a short bio and photo of the WYSO member. These items will help our conductors identify members of their orchestra as the season begins. Please call our office at (608) 733-6283 with any questions or concerns.

WYSO Member Information

First Name *

Last Name *

Nickname

Ensemble *

Birthdate (mm/dd/yyyy) *

Address *

Country

City

State

Zip code

Primary Phone (999-999-9999) *

Member's Email address *

Name of school WYSO Member will attend in 2020-2021 *

Anticipated year of high school graduation *

Member's gender

Please include a short Member bio *

Please upload a photo of the Member

Are you participating in your school's music program (band and/or orchestra)? *

Yes

If you are not participating in your school's music program, please explain why:

Private Lesson Teacher's Name

Participation for Fall 2020

What are your plans to attend? *

For more information, read about our Fall 2020 plan.

I plan to attend in-person rehearsals with proper safety protocols

I am unable to join in-person rehearsals but I'm interested in any online offerings that might be offered

If you are unable to attend in-person rehearsals, please explain why:

Primary Contact Information

First Name *

Last Name *

Relationship to the Member *

Address (if different than WYSO member's address)

Apt, suite, etc.

Country

City

State

Zip code

Primary Phone Number *

Cell Phone, if different than above

Work Phone

Email *

Employer *

Secondary Contact Information

First Name

Last Name

Relationship to the Member

Address (if different than WYSO member's address)

Apt, suite, etc.

Country

City

State

Zip code

Primary Phone

Cell Phone (if different than above)

Work Phone

Employer

Emergency Contact Information

Name of emergency contact if parent/guardian is not available. *

Relationship to WYSO member *

Primary Phone *

Cell Phone (if different than above)

WYSO Member's Medical History

Please list any allergies or medical issues.

Please list any physical conditions requiring accommodations.

By checking any of the boxes below, parental permission is granted to take any of the following medications during rehearsal or while on tour.

Tylenol (acetaminophen)

Ibuprofen

OPTIONAL: Question regarding demographics

Please check all boxes that best describes your family

Prefer not to answer

Latino/Hispanic

Native American or Alaskan Native

Black or African American

White

Native Hawaiian or Other Pacific Islander

Asian

Other race, ethnicity or origin (please specify)

Other race, ethnicity or origin

Media Release

I give permission for my child's photographic likeness to be used in print or electronic materials for education or publicity purposes for WYSO. This includes photos in the newspaper, websites, posters, and video. *

Yes

What is the name of your hometown newspaper?

Parent volunteers are essential to the success of the WYSO program. Please indicate if you are interested in any or all of our current volunteer opportunities.

Saturday Morning Assistant: Assists with tasks like attendance taker, arrival assistance, and other tasks as needed

Parent Leader Committee (PLC): A volunteer body that supports several WYSO initiatives throughout the year such as organizing first rehearsal day, the Taste of WYSO, the Musical Notes fundraiser, and more. The PLC meets Saturday mornings.

Parent School Coordinators (PSC): Share information about WYSO activities and events with their child’s school or school district.

Photo Team: Captures images/videos of all aspects of the WYSO program from concerts to master classes and beyond. Photos are used for marketing, social media, grant applications and more. Photo Team members submit photos to the WYSO communications staff.

I'm interested in learning more about writing a testimonial about the WYSO program for grant purposes.

Yes

Congratulation on your acceptance into WYSO for the 2020-2021 season.

Members

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