ASYO Registration Form 1 Student Information | 2 Parent Information | 3 School/Instructor Information | 4 Ensemble Information | 5 Demographic Information Step 1 of 5 - STUDENT INFORMATION 20% Student Name* First Last Gender*MaleFemaleDate of Birth* MM DD YYYY Instrument*Grade*1st2nd3rd4th5th6th7th8th9th10th11th12thAddress* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Student Email Address* IMPORTANT: Email is the primary form of contact throughout the season. Please be aware of personal email settings as you will receive emails from Irma Borup, Education Coordinator, and from The Amarillo Symphony.Phone* Name* First Last Relationship Type*MotherFatherStep-ParentGrandfatherGrandmotherAuntUncleOtherPlease SpecifyParent Email Address* IMPORTANT: Email is the primary form of contact throughout the season. Please be aware of personal email settings as you will receive emails from Irma Borup, Education Coordinator, and from The Amarillo Symphony.Primary Phone*Type*CellHomeOfficeAdditional Parent/Guardian Name First Last Additional Parent/Guardian Relationship TypeMotherFatherStep-ParentGrandfatherGrandmotherAuntUncleOtherAdditional Parent/Guardian Email Address IMPORTANT: Email is the primary form of contact throughout the season. Please be aware of personal email settings as you will receive emails from Irma Borup, Education Coordinator, and from The Amarillo Symphony.Additional Parent/Guardian Primary PhoneTypeCellHomeOffice School Name*School Music Teacher* First Last This is my:* Orchestra Director Band Director Director's Email Current Private Teacher Name First Last Number of Years You Have Studied Privately Ensemble* Preparatory Strings (no audition required) Sinfonia (audition required) Philharmonic (audition required) Your Symphony (audition required) Audition Day/time* Monday, August 28, 2017 // 4:30-7:30 p.m. Tuesday, August 29, 2017 // 4:30-7:30 p.m.* Thursday, August 31, 2017 // 4:30-7:30 p.m.* Please select a day and preferred time frame for your audition. The Education Coordinator will respond with a scheduled audition time slot. All times are first come, first served. All auditions will take place at the Amarillo College Music Building, Washington St. campus. * Due to limited access to AC’s percussion equipment, percussionists are asked to register for an audition on either of the two dates marked accordingly.Please use this space to explain any unavoidable conflicts you may have on your preferred audition day. DEMOGRAPHIC INFORMATIONThe Amarillo Symphony submits grant proposals to a variety of philanthropic organizations, including foundations, government, corporate, and individual donors for financial and in-kind support. As a part of these funding requests, we are asked to provide a variety of information including demographic data about the participants that our programs serve. Demographic information is not used to make acceptance decisions for the orchestras.Demographic* American Indian Black/African American Hispanic/Latino Asian American/Pacific Islander White/Caucasian Multiracial Other Please Specify Other DemographicEmailThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.