Summer 2024 Student Registration

You can register up to two students from the same family using this form. The siblings must share the same parents, mailing address and family email.
For extra siblings, please start a new form.

IMPORTANT: Summer Strings and Summer Symphony are now full. Registration is closed for these two camps, but remains open for Summer Music Institute.

Please note that fields with a red * are required

Has anyone from your family registered for BYSO before?

YesNoFor current or previous season, summer camp or audition.

Would you like to register a sibling at the same address?

Yes

STUDENT MUSICAL BACKGROUND - First Sibling

If you have participated in BYSO before, what was the last calendar school year (or summer) you participated?

Which group did you last play in?

How many years have you been playing this instrument?

Do you take private lessons on this instrument?

YesNo

If yes, for how long?

Name of private teacher

Private Teacher Email

Other musical training or experiences you have had

Current (or most recent) solo you have learned:

Changes to family contact details

Please check here if you need to update your address, phone or parent contact details

Changes to emergency contact details

Please check here if you need to update your emergency contacts

FAMILY CONTACT INFORMATION

Primary Phone

Main phone of the student's primary household

Mailing Address

P.O. Box or Street (include apartment #)

City

State

Zip

PARENT/GUARDIAN INFORMATION

First Name

Last Name

Preferred First Name

Relationship to Student

Primary Phone

Cell Phone

Email Address

Employer

For fundraising purposes only

Parent/Guardian 2

First Name

Last Name

Preferred First Name

Relationship to Student

Cell Phone

Email Address

Employer

For fundraising purposes only

With whom does this student live?

Other custody or living arrangements for this student?

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.

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.

Emergency Contact Person 1

Contact Name

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

Cell phone number for Emergency Contact 1

Relationship to Student

How is Emergency Contact 1 related to the student?

Emergency Contact Person 2

Contact Name

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

Cell phone number for Emergency Contact 2

Relationship to Student

How is Emergency Contact 2 related to the student?

Medical Insurance Provider

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

Medical Insurance Subscriber

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

Medical Insurance ID Number

Insurance subscriber's ID number

Doctor's Name

Doctor of the auditioning student

Doctor's Phone Number

Special Concerns

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.

STUDENT BACKGROUND SECTION - Second Sibling

If you have participated in BYSO before, what was the last calendar school year (or summer) you participated?

Which group did you last play in?

How many years have you been playing this instrument?

Do you take private lessons on this instrument?

YesNo

If yes, for how long?

Name of private teacher

Private Teacher Email

Other musical training or experiences you have had

Current (or most recent) solo you have learned:

Second Sibling Emergency Contact Details

Please check here if emergency contacts for the second sibling are different to above.

EMERGENCY CONTACTS & MEDICAL INFORMATION - Second Sibling

The following questions are for emergency purposes only.

Emergency Contact Person 1

Contact Name

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

Cell phone number for Emergency Contact 1

Relationship to Student

How is Emergency Contact 1 related to the student?

Emergency Contact Person 2

Contact Name

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

Cell phone number for Emergency Contact 2

Relationship to Student

How is Emergency Contact 2 related to the student?

Medical Insurance Provider

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

Medical Insurance Subscriber

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

Medical Insurance ID Number

Insurance subscriber's ID number

Doctor's Name

Doctor of the auditioning student

Doctor's Phone Number

Special Concerns

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.

Before or After Session Care

Please check here if you are interested in signing up for before or after session care for your student (prices to be confirmed)

Financial Aid

Please check here if you would like some assistance with tuition payments

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(s).

Check here to indicate acceptance:

I agree

Initials:

Summer Camp Registration Campaign ID

Summer Strings Ensemble ID - ST

Summer Symphony Ensemble ID - SY

Summer Music Inst Ensemble ID - MI