MusicWorks! Youth Camp Registration - Gulf Coast Symphony

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Fort Myers, FL 33919

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MusicWorks! Registration Form

Student Name(Required)

First Last

Student date of birth(Required)

MM slash DD slash YYYY

Grade in School Year 2023-24(Required)

2nd

3rd

4th

5th

6th

Does the student have previous experience studying stringed instruments?(Required)

Yes

No

What stringed instrument has the student studied?(Required)

Violin

Viola

Cello

None

If the student already owns a stringed instrument, what instrument do they own? (owning an instrument is not required)(Required)

Violin

Viola

Cello

The student does not own a string instrument

What school will the student attend in school year 2023-24? (indicate if the student is homeschooled)(Required)

Please describe any background in music theory - classes, lessons, ability, etc(Required)

1st Parent Name(Required)

First Last

1st Parent Phone(Required)

1st Parent Email(Required)

2nd Parent Name

First Last

2nd Parent Phone

2nd Parent Email

Photo/Video Release from Parents: I authorize videos or photographs of my child taken during any rehearsal or performance for use in Gulf Coast Symphony's Music Works program marketing materials. (This is required for participation)(Required)

Yes

No

Financial Assistance: The Gulf Coast Symphony will award scholarships to a limited number of music students in the Music Works program. Scholarships are based on FINANCIAL NEED. Select "no" if you do not need financial assistance. Select "yes" to receive a link for a scholarship application.(Required)

Yes

No

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