COVID Waiver and Vaccination Status 2022-23 Season

Please note that fields with a red * are required.

Hi BYSO musicians and families,

It is important that we take all the necessary steps to keep everyone safe. We are requiring vaccinations for all BYSO employees. We currently are not requiring vaccinations for our students, but we do need to know everyone’s vaccination status. This will allow us quickly to notify students who might be exposed.

STUDENT INFORMATION

Student First Name

Student's legal first name

Student Last Name

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

Student's Date of Birth

Student's Preferred First Name

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

FAMILY CONTACT INFORMATION

Family Email Address

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

Student's Email Address

Age 13 or older (optional)

Best contact phone number

Home phone of the student's primary household

VACCINATION STATUS

We currently are not requiring vaccinations for our students, but we do need to know everyone’s vaccination status. This will allow us to quickly notify students who might be exposed.

Unvaccinated students exposed to Covid will need to quarantine for two weeks and provide a negative Covid test to return to rehearsals.

Vaccinated students exposed to Covid will need to quarantine for one week and provide a negative Covid test to return to rehearsals.

Please select your vaccination status

Fully or partially vaccinatedUnvaccinated but planning to get vaccinatedUnvaccinated and will not be vaccinated (whether by choice, ineligible to receive, or other reason)

COVID Waiver and Assumption of Risk

A responsible adult 18 or over must read and agree to Bellevue Youth Symphony Orchestra's COVID-19 Release of Liability and Assumption of Risk Agreement Release. Please click HERE to read the full text, which will open in a separate browser window.

I have read and understand BYSO's COVID-19 Release of Liability and Assumption of Risk Agreement. 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.

Check here to indicate acceptance:

I agree

Initials:

Quarter Campaign ID

Contact Information