Non-Audition Ensemble Registration

This form is to register for our entry level Reading Orchestra, Jazz Ensemble and Maestros.

Class Selection:

Student Information

Student First Name

Student Last Name

Grade (Fall, 2024)

Student Birthday

Instrument

Household Phone (the phone we should call you on when we need to communicate)

Primary Household Email (the email you will check for all communication from MYAC)

Address Line 1

City

State

Zip Code

Race/ Ethnicity

School Music Program

Students participating in MYAC programs are required to participate in their school music program. Please provide information pertaining to your child's participation in school music programs: [This section does not apply to Maestros or students in schools with NO music programs.]

Academic School you attend:

School Program Name:

School Music Director First Name:

School Music Director Last Name:

School Director Email:

Private Teacher Information

If applicable, please provide information pertaining to your private music study:

Private Teacher First Name

Private Teacher Last Name

Private Teacher Email:

Private Teacher Phone:

Parent/Legal Guardian 1

Parent 1 First Name

Parent 1 Last Name

Parent 1 Cell Phone

Parent 1 Email

Employment Information

Employed Outside of HomeHome Manager

Parent 1 Employer

Parent 1 Job Title:

.Parent/Legal Guardian 2

Parent 2 First Name

Parent 2 Last Name

Parent 2 Cell Phone

Parent 2 Email

Employment Information

Employed Outside of HomeHome Manager

Parent 2 Employer

Parent 2 Job Title

Join The MYAC Volunteer Team

Volunteerism thrives at MYAC and allows us to offer exceptional education, performance and concert opportunities! From assisting with seating auditions to designing benefit invitations or directing traffic at our end of year North Shore Jazz and Classical Music Fest, volunteers perform important services to enhance our overall programs. Each MYAC family has a volunteer requirement of four (4) hours per year per child in MYAC. The volunteer hours may be worked by any member of the family, student, parent or other family member.

If you have any questions related to volunteering, please feel free to email karendennis@mya.org.

Volunteer Commitment:

I understand the volunteer requirement and our family will fulfill it sometime during the school year.In lieu of volunteering, please invoice an extra $200/child to cover our family volunteer requirement.

Permissions

MYAC takes photos, videos and images for our website, flyers and brochures to publicize, market and recruit. Please indicate whether you us permission to photograph your child during the 2024-2025 season and waive your right to inspect and/or approve the finished product or the use to which it may be applied.

Photo Permission

I give MYAC permission to use photographs or images of my child and waive my right to inspect or approve.

Please indicate whether you give us permission to include your phone number, email and home address in any MYAC Student Directory in the 2024-2025 season.

Directory Permission

I give permission to include my contact information in any MYAC Student Directory during the 2024-2025 season.

Payment Information

You may reserve your student's spot in his or her existing ensemble/s by paying a $100 non-refundable deposit for each ensemble which is credited to next year's tuition invoice. You may make a secure, on-line payment on-line as soon as you complete this form.

Please note: Financial assistance is available.

Submitting this form with your $100 tuition deposit represents a commitment to participate in Midwest Young Artists Conservatory program(s) during the entire Season 2024-2025. MYAC will expect your enrollment in both fall and spring semesters and will not fill your place in your current ensemble with another student. The tuition deposit will be applied to your tuition invoice for the season as the final installment. The tuition deposit is neither refundable nor transferable should you change your enrollment plan for Season 2024-2025.

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Complete Understanding

I understand my responsibilities and have verified that all of the above information is complete and accurate.

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