Gemini Youth Orchestras

Symphony □

Instrumental in Creating Great Musicians Philharmonia□

Concert Winds □

String Orchestra □ Repertory Orchestra □

Musician’s Name: ______

Age: ______New Student ______

Grade in school as of 09/17: ______Returning Student _____Years in GYO (as of 2017) ______

Parents’/Guardians’ Names: ______

Address: ______

Phone Number: (_____) ______Cell Phone Number: ______

Primary E-mail Address (for all communications): ______

Primary Instrument: ______Years of Study: ______

NYSSMA Level Completed as of 09/17:______Score: ______

Private Teacher (*required)

Name: ______Telephone Number: ______

Previous Orchestral/Ensemble Experience & number of years: ______

How did you hear about Gemini Youth Orchestras? ______

During the 2017-2018 season, are you participating in other non-school-related performing groups? Yes □ No □

(Note: Gemini concertattendance is mandatory) Name of Orchestra______

School Information:

School Student Attends: ______School District: ______

School Orchestra/Band Teacher (Name): ______

Health Information: (*required)

Medication: ______Allergies/Other Conditions: ______

Emergency Contact Phone Number(s): ______

Doctor’s name and number: ______

Please turn for second page.

Office Use Only: Tuition Dept ______Full ______TASP ______

Gemini Youth Orchestras

Symphony □

Instrumental in Creating Great Musicians Philharmonia□

Concert Winds □

String Orchestra □

Repertory Orchestra □

Media Agreement

Registration as a student and participation in concerts, classes and other Gemini Youth Orchestra activities constitutes an agreement by the student to the Gemini Youth Orchestra’s use and distribution (both now and in the future) of the student’s image, music performance or voice in photographs, videotapes, social media, electronic reproductions, or audiotapes of such concerts, classes and other Gemini Youth Orchestra activities as part of a group rehearsal or performance.

Parent Initial: ______Date: ______

Handbook Policies

Participation in the Gemini Youth Orchestras is contingent on the observance of the rules, policies and procedures outlined in the Musician’s Handbook. It is the responsibility of each family to download the Handbook from gyo.org and familiarize themselves with the 2016/2017 edition of the Handbook prior to the first rehearsal.

Parent Initial: ______Date: ______

Parking & Code of Conduct

Those providing transportation for members of the Gemini Youth Orchestras to and from GYO activities and events are required to observe all parking and drop-off policies currently in force by our rehearsal and concert venues and remain educated on any changes, which may be communicated through e-mail and/or gyo.org. As guests in these facilities, GYO members, family and guests are expected to respect the facilities in use, utilize proper trash receptacles, etc. Failure to observe these policies and any violations of traffic safety may result in dismissal from the program.

Parent Initial: ______Date: ______

Parent/Guardian Meeting Attendance

I agree to attend the follow parent/guardian meeting, required of all new andreturning families (check one):

□ Monday, September 18th at 4:30pm

□ Monday, September 18th at 5:30pm

□ Monday, September 18th at 7pm

□ Monday, September 18th at 8:30pm

Parent Initial: ______Date: ______

Third Party Disclosure

All participants in the Gemini Youth Orchestras allow their contact information to be disclosed to our rehearsal and concert venues for safety and security purposes, as well for limited marketing materials with specific benefit to GYO members, such as college credit-earning opportunities within orchestra, summer programs and FTCPAC concerts.

Parent Initial: ______Date: ______