Orchestra Enrollment Form

ORCHESTRA ENROLLMENT FORM

Student Information

Date of Birth:    Student ID (if applicable):

Primary Phone:    Email:

Parent / Guardian Information (if student is a minor)

Relationship:    Phone:

Emergency & Medical Information

Relationship:    Phone:    Alternate Phone:

Enrollment Details & Instrument Selection

Preferred Ensemble: Symphony Orchestra String Orchestra Chamber Orchestra Youth Orchestra

Primary Instrument: Violin Viola Cello Bass Flute Oboe Clarinet Bassoon

Trumpet Trombone French Horn Tuba Percussion Harp Other:

Years of experience on primary instrument:    Current Private Teacher:

Financial Terms & Fees

Tuition Fee for Season: $ per term

Payment Plan: Full payment due at enrollment Monthly installments Request scholarship / financial aid (attach statement)

Fee Refund Policy: By enrolling I acknowledge that tuition refunds are provided only as expressly set by the program's published refund schedule. Any withdrawal after the start of rehearsals may result in partial or no refund, subject to administrative discretion.

Rehearsal, Performance & Attendance Policy

Students are expected to attend all scheduled rehearsals and performances. Excessive unexcused absences may result in removal from programming. Excused absences require prior written notice to the conductor or program director.

I acknowledge the Attendance & Participation Policy: Initials:

Instrument Loan & Property

If borrowing a school instrument, the borrower is responsible for reasonable care and repair costs for damage beyond normal wear. Lost or unreturned instruments will incur replacement costs. Borrowers must complete and sign an instrument loan agreement prior to issuance.

Instrument loan request: Yes No    If yes, instrument requested:

Media Release & Publicity

I authorize the program to use photographs, video recordings, and audio recordings of the student for program promotion, educational, and archival purposes without compensation. This authorization is voluntary and may be revoked in writing.

I grant media release I do NOT grant media release

Liability, Emergency Treatment & Certification

I authorize program staff to obtain emergency medical treatment for the student if necessary and agree to assume responsibility for any expenses incurred. I understand the program and its staff are not liable for injuries except where caused by gross negligence or willful misconduct.

By signing below I certify that the information provided is true and accurate to the best of my knowledge, that I have read and accept the program policies stated herein, and that I am authorized to enroll the student in this program.

Acknowledgments & Code of Conduct

The student agrees to adhere to the orchestra's code of conduct, including respectful behavior toward staff, students, property, and audience members; punctuality; preparation; and appropriate attire for rehearsals and performances. Violations may result in disciplinary measures up to dismissal.

Sign Now