Student's Name *

First Name

Last Name

Parent/Guardian Name(s) *

First Name

Last Name

Phone *

(###)

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Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Birth Date *

MM

DD

YYYY

Instrument *

Violin

Viola

Cello

Bass

School Music Dept. Phone *

(###)

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Private Music Teacher's Phone *

(###)

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Choose your preferred audition time(s) *

Select all timeframes that you are available/prefer:

Friday, August 23rd, 5:00pm - 7:30pm

Saturday, August 24th, 8:30am - 12:00pm

Saturday, August 24th, 1:00pm - 4:00pm

Saturday, August 24th, 4:30pm - 8:00pm

We support the membership of this student in Prelude Strings. Orchestra members are expected to participate in their school music program to the satisfaction of the school music teacher. Should serious illness or accident occur and orchestra personnel are unable to contact the parent(s)/guardian(s), permission is hereby granted for medical care to be given as required. I/We release Prelude Strings from any claim or liability for any injury or illness resulting to participating student or damage to his/her instrument, not occasioned by any fault or neglect on the part of Prelude Strings while participating in such activities. We have reviewed the policies and understand the commitment. We understand audition and tuition fees are not refundable. *

I HAVE READ AND AGREE TO THE MEMBERSHIP TERMS LISTED ABOVE