Returning Youth & Percussion Ensemble Fall 2020 Registration

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Welcome back to Youth Symphony or Percussion Ensemble!  Please let us know by September 1 if you will be returning by filling out this short form and paying the registration fee.
Please note that fields with a red * are required
STUDENT INFORMATION

Student's legal first name

Student's legal last name (as it appears on his/her birth certificate)

If you have a different first name you would like us to use, instead of the legal name above, enter it here.




Age 13 or older

FAMILY CONTACT INFORMATION

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

Home phone of the student's primary household





19-20 PARTICIPATION INFORMATION



Let us know if you have special requests for your fall ensemble.
EMERGENCY CONTACTS & MEDICAL INFORMATION
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.
Payment Information
There is a registration fee of $36.00. Please fill in your credit card information below. BYSO does not collect or save this sensitive information.






Liability Release
A responsible adult 18 or over 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