Summer 2019 Student Registration

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Student Information

Student's legal first name

Student's legal last name

What would you like to be called?

We must have a working email address for your family. This will be BYSO's primary channel of communication with you.

Age 13 or older (optional)




NEW STUDENT INFORMATION



m/d/yyyy



Check all that apply. This information is collected for grant purposes only.
CONTACT INFORMATION

Main phone of the student's primary household





PARENT/GUARDIAN INFORMATION








For fundraising purposes only








For fundraising purposes only


Optional, if you would like us to be aware. For example: student is in temporary housing; BYSO tuition invoice should be sent to non-custodial parent; etc. Please provide additional mailing addresses if necessary.
STUDENT BACKGROUND








EMERGENCY  INFORMATION
The following questions are for emergency purposes only. a form which the camp directors will keep in case of need.  If you do not wish to enter this information online, you should bring the information with you to complete a written form on the first day of camp.



Name of a person to contact in case of a medical emergency at rehearsal, if the student's parent(s) or guardian(s) cannot be reached.

Cell phone number for Emergency Contact 1

How is Emergency Contact 1 related to the student?


Second person to contact in case of a medical emergency at rehearsal, if the student's parent(s) or guardian(s) cannot be reached.

Cell phone number for Emergency Contact 2

How is Emergency Contact 2 related to the student?

If student is insured, what is the name of the medical insurance company?

Insurance subscriber's name (usually a parent or guardian of the student)

Insurance subscriber's ID number

Doctor of the auditioning student


Please describe any medical or behavioral concerns, allergies, or physical conditions that may affect the student's participation in BYSO, or about which you would like us to be aware.
SIBLING INFORMATION
If you are registering a brother or sister with the same parents/guardians, address, family email and phone as the first student, you can add them to this form here.  If more than one other sibling will be attending Camp, please contact the office at info@byso.org.

STUDENT INFORMATION - Second Sibling

Student's legal first name

Student's legal last name.



Age 13 or older (optional)

m/d/yyyy










Optional, if you would like us to be aware. For example: student is in temporary housing; BYSO tuition invoice should be sent to non-custodial parent; etc. Please provide additional mailing addresses if necessary.
STUDENT BACKGROUND SECTION - Second Sibling








EMERGENCY CONTACTS & MEDICAL INFORMATION - Second Sibling
The following questions are for emergency purposes only.



Name of a person to contact in case of a medical emergency at rehearsal, if the student's parent(s) or guardian(s) cannot be reached.

Cell phone number for Emergency Contact 1

How is Emergency Contact 1 related to the student?


Second person to contact in case of a medical emergency at rehearsal, if the student's parent(s) or guardian(s) cannot be reached.

Cell phone number for Emergency Contact 2

How is Emergency Contact 2 related to the student?

If student is insured, what is the name of the medical insurance company?

Insurance subscriber's name (usually a parent or guardian of the student)

Insurance subscriber's ID number

Doctor of the auditioning student


Please describe any medical or behavioral concerns, allergies, or physical conditions that may affect the student's participation in BYSO, or about which you would like us to be aware.
Liability Release
You must read and agree to Bellevue Youth Symphony Orchestra's Liability and Emergency Medical Release.  Please click here to read the full text, which will open in a separate browser window.

I have read and understand BYSO's Release of Liability, Indemnity, Hold Harmless and Medical Authorization.  By checking the box below and entering my initials, I assert that I am an adult and agree to these terms on behalf of myself and my student.


www.byso.org