NIYS 2023-2024 Registration
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Email *
Please fill out this form to register your musician(s) for the upcoming season.
Student's First Name *
Student's Last Name *
Student's Current School *
Is your musician currently enrolled in their school's music program (Strings, Band, Orchestra, Choir etc...) *
Student's Current Grade *
Street Address *
City, State, Zip Code *
Student's cell number, if applicable:
Musician Information
Which Orchestra does your student want to be placed in? All placements are at the Conductor's discretion regardless of past orchestra participation. This is to ensure all students are in the best fitting environment to learn and progress. *
 What is your student's shirt size? (pick one option) *
Primary instrument your child plays: *
If applicable, list your child's private lesson instructor
Does your child have any allergies? *
Please list any allergies, severity/reaction, and treatment. 
Please list other siblings participating in NIYS and what orchestra they are in (Sibling tuition discount is 10% for each subsequent sibling enrolled):
Do you consent for your child to be photographed and/or video taped during practice and/or performances? These images may be used for publicity, recruiting, or on social media and names will not be included unless special permission is received for each specific post. *
Parent/Guardian #1 First and Last Name: *
Parent/Guardian #1 is: *
Best phone number to reach Parent/Guardian #1: *
Best email to reach Parent/Guardian #1: *
Is this Parent Financially Responsible for the student? *
Parent/Guardian #2 First and Last Name:
Parent/Guardian #2 is:
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Best phone number to reach Parent/Guardian #2:
Best email to reach Parent/Guardian #2:
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