Student Musician Registration Form "*" indicates required fields Name* First Last Instrument*Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Home PhoneStudent Mobile PhoneParent Mobile Phone*Musician Email* Parent Email* Emergency Contact Name* First Last Relation to Musician*Emergency Contact Home PhoneEmergency Contact Mobile Phone*Contact Consent* By checking this box, you give us permission to contact you by email concerning annual registration, rehearsals and performancesEmail Marketing Consent By checking this box, you give us permission to add you to our email marketing list so you receive information about ticket sales and events.Option 1: Permission to Transport I give the New Albany Symphony Orchestra and its agents permission to transport me or my child to the below-specified hospital, clinic, doctor’s office or dentist’s office for emergency medical or dental care. I further give my permission to transport me or my child to the nearest source of assistance should transport to the providers below not be reasonably possible.HospitalDoctor's OfficeDoctor's Office Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Doctor's Office PhoneDentist's OfficeDentist's Office Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Dentist's Office PhoneOption 2: Refusal to Grant Permission to Transport I do not give the New Albany Symphony Orchestra and its agents permission to transport me or my child for emergency medical or dental care. In the event of an emergency, I with the New Albany Symphony Orchestra to take the below-specified action.Emergency Medical or Dental ActionThis is a waiver and release of claims. Please read carefully.* As with all activities, there is some risk of injury, loss or damage at events held by New Albany Symphony Orchestra, Inc. As a condition of your participation, you agree to assume these risks. You also agree to release New Albany Symphony Orchestra, Inc, its officers, employees, trustees, agents and volunteers from any and all claims you might have for any injury, loss or damage. In performance organizations, musicians’ names, area of residence and photos are often released in publicity materials. As a condition of your participation, you consent to the use of such information and photos for publicity purposes. The concerts are recorded for archival purposes and for broadcast. The recordings may be reproduced and sold, at cost, to any musicians performing in the concert for personal listening. As a condition of your participation you agree to such use of the concert recordings. BY SELECTING THIS OPTION, I AGREE TO THE TERMS OF THIS WAIVER AND RELEASE FOR MYSELF OR MY MINOR CHILD.Concert Unavailability To reduce the number of boxes you need to check, please mark only those dates when you are NOT available. For WIND, BRASS and PERCUSSION musicians – depending upon the instrumentation, we may not need you for all the concerts. Please provide your unavailability as if you will be playing all concerts, and we will get back to you as soon as possible as to which concerts you will be needed.Singing Rooms – October 11, 2026 McCoy Center Tuesday, October 6, 7:00 – 9:30 pm Wednesday, October 7, 7:00 – 9:30 pm Friday, October 9, 7:00 – 9:30 pm Saturday, October 10, 9:30-11 am Saturday, October 10, 11:30 am SF CONCERT Sunday, October 11, 3:00 pm CONCERT HOLIDAY SPECTACULAR – December 19 and 20, 2026 McCoy CenterAll rehearsals are at the McCoy. Thursday, December 17, 7:00 – 9:30 pm Friday, December 18, 7:00 – 9:30 pm Saturday, December 19, 9:30-11:00 am rehearsal Saturday December 19, 11:30 am SF CONCERT Saturday, December 19, 3:00 pm CONCERT Sunday, December 20, 3:00 pm CONCERT Echoes from the Emerald Isle – March 6 and 7, 2027 McCoy CenterAll rehearsals are at the McCoy. Thursday, March 4, 7:00 – 9:30 pm Friday, March 5, 7:00 – 9:30 pm Saturday, March 6, 9:30-11:00 am Saturday, March 6, 11:30 am SF CONCERT Sunday, March 7, 3:00 pm CONCERT Great Artist – April 24, 2027 McCoy CenterAll rehearsals are at the McCoy. The Thursday, April 23 rehearsal is subject to change depending on guest artist availability. Wednesday, April 21, 7- 9:30 pm Thursday, April 22, 7:00 – 9:30 pm Friday, April 23, 7:00 – 9:30 pm Saturday, April 24, 10 am -12:30 pm DRESS REHEARSAL Saturday, April 24, 7:00 pm CONCERT Confirmation* Please confirm that you have checked only those dates when you are UNAVAILABLE.School Arts Program Participation Priority for available positions, scholarships, and consideration for need-based tuition reduction are given only to students who participate in their school arts programs. Please indicate your school participation.School NameSchool Arts Program InvolvementSchool Arts Teacher Name (where applicable)High School Graduation Year*Parents, our Friends group organizes social and fundraising activities throughout the year. All are welcome to join us! If you are interested, please enter your email address. Tuition Tuition for full student members is $350 per season. Tuition for Young Artists is $250. Tuition must be paid when you submit this registration form. Student Tuition*Students are required to pay tuition at the time of registration.Select OneFull Member TuitionYoung Artist TuitionReduced Tuition per AgreementReduced Tuition AmountIf the Executive Director and Personnel Director have agreed to reduce your child’s tuition, please enter the agreed-upon amount here. Total Credit Card*
