2021 2nd/3rd year MWSA Registration Form
Please fill out this form and submit.  Make sure you include your payment type and send that in to be fully registered.  2nd year registration deadline is Wednesday, September 1, 2021.  The registration fee is $60.  T-shirts are $10, stands are $15.  After September 1, 2021 the registration fee will increase to $70.  
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2021-2022 REGISTRATION
Student's First Name: *
Student's Last Name *
Indicate grade of student next year (2021-2022): *
Which elementary school will you be attending orchestra?
Gender *
Instrument student will play: *
Student's Street Address *
City *
State *
Zip *
Home Phone #: *
Cell phone #:  (If you do not have one please indicate that here) *
Email Address:  (This is our most resourceful way of distributing program information out to you.) *
If you do not have email please indicate that here.
Parent's First Name *
Parent's Last Name *
School District *
What orchestra class was your child in last year? *
Do you need an instrument? *
If taking private lessons, please indicate your private teacher's first and last name:
T-shirts are $10.  Please indicate size of T-shirt desired.  When making payment select registration + t-shirt.  T-shirts are not included with the registration fee.   *
We will be ordering a new design this year
Captionless Image
Adult T-Shirt Order (Youth XL=Adult XS)
Please indicate size here.
PARTICIPATION AGREEMENT
I, the undersigned, am a parent or legal guardian of the named minor above. I understand that my child will be participating in the Mountain West String Academy Elementary Orchestra and that my child is expected to arrive on time to class each day prepared with orchestra materials and I will support practicing at home. If my child is attending an after school class I will pick up my student on time. I also understand that there are rehearsals and performances during the year that my student must attend.
I will allow MWSA to distribute contact information only for MWSA program purposes only, this includes fund-raising efforts within the program. I will allow photos and video of my child in the classroom and concert setting for calendar fund-raising purposes and classroom and concert activities.
Participation Agreement (please sign and date here) *
I the undersigned, agree to all the terms and conditions listed above.
We need your help! *
Please mark as many as you might be interested in helping us with this year.
Required
Other Volunteering
Please indicate here any other way you wish to help and the amount of time you can give.
Payment Information *
Please indicate all items you will be submitting with your payment
Required
Other items you will be paying for:
Indicate item and amount paid for that item
Total amount included in your payment: *
I am making my payment in the following way: *
Registration deadline is September 1, 2021 by noon.  After that time, late registration will be $70.
Credit Card payment may be made through our PayPal account located on our website at www.mountainweststrings.com.  Choose PAY NOW at the top of the menu, or after you submit your form a link will show up for our Pay Now Page.  Please indicate your student's name and school and what your payment is for (registration, t-shirt, music stand, etc.).  
OR
Check payments may be mailed to:
MWSA
PO Box 203
Mendon, Utah 84325
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