Student Application

Please fill out this form completely and accurately. This information is used to produce the final program, diplomas and trophies.

(Please enter name as it will appear on program)

 
Student first name
Student middle name (optional)
Student last name
Age (on concert day )
  
Parent's name(s) First
Last:
Home phone
  
Email
  
Street Address
City
State
Zip
Teacher's name
Graduation level currently applying for
  

Parent responsibilities

 

I have read and agree to the following:

•  Students will continue polishing their performance piece.

•  Students will attend the dress rehearsal.

•  Videotape and $60.00/member or $90.00/non-member fee must be enclosed with this application or videotape resubmission fee is $15.00 and must be received.