(BAYO) Registration - Blues Alley Jazz Society

Blues Alley Youth Orchestra Registration Form. (Please fill out all fields)

*Blues Alley Youth Orchestra Eligibility Requirements Must have at least 2 years of instruction, and have your own instrument. Students should be able to perform the following scales (2 octaves if possible):

major scales: C, F, Bb, Eb, Ab, Db, G, D, A, E
minor scales: A, D, G, F, Bb, E

I have read the Blues Alley Youth Orchestra eligibility requirements and acknowledge the applicant meets these requirements. Yes

Student Name (required)

Student Email (required)

Student Age (required)

Rising Grade

Instrumental or Vocal Training
Tell us your Instrument or indicate Vocal:

List other instruments played:
Number of years experience on your instrument:
Number of years of formal music training:
Name of Teacher
Previous jazz training YesNo

School Information
School Name:
School City & State:
Grade entering this fall:

Student's Home Information
Street Address:
City State Zip:
Phone:
Parent's Name:
Parent's Email:
Parent's Daytime Phone:
Additional email:
Student's Shirt Size:
Student's Allergies or medical conditions:

Emergency Information
In case of emergency, contact:
Name
Relationship
Telephone
Alternate Contact:
Name
Relationship
Telephone
Carpooling
Are you interested in carpooling?
YesNo

Blues Alley Youth Orchestra Registration Form. (Please fill out all fields)

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