ORCHESTRA REGISTRATION FORM

Student's Name:
Sex:
Age:
Parent/Guardian's Name:
Address:
City:
State:
Zip Code:
Home Phone:
Work Phone:
Cell Phone:
Email (for CSA purposes only):
School Information
School Name:
Current Grade:
Grade Completed:
School District Name:
School Orchestra Director Name:
Private Teacher Name:
Audition Information
Instrument:
Years of Study:
Name of Solo/Composer for Audition:
Name of Solo Book/ Level for Audition:

Please fill out form completely and click "submit" button. Once you have submitted your completed application, please call the office (513) 948-1900 to schedule an audition time.