Youth Chamber Ensembles Registration Step 1 of 4 25% Contact InformationStudent Name(Required) First Last Student Age(Required)101112131415161718Parent's Name(Required) First Last Parent Phone(Required)Parent Email Address(Required) Address Street Address City State 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 Zip Code Instrument(Required)ViolinViolaCelloString BassPianoFluteOboeClarinetBassoonTromboneTrumpetFrench HornTubaHarpPercussionYears of Experience on Instrument(Required)3456 or moreSchoolSchool Orchestra Director's NamePrivate Instructor's Name(Required)Does your child have a pre-formed ensembled?(Required) My child has a pre-formed ensemble My child will need to be placed in an ensemble Please name the other members of your child's ensemble.(Required) Emergency Contact Name(Required)Emergency Phone(Required)Please list and medical conditions or learning disabilities of which we should be aware(Required)Consent(Required) I agree and consent.The student or, in the case of a minor, the parent or legal guardian, must assume full responsibility for all personal property while the student is on the premises. The Arkansas Symphony Orchestra cannot assume responsibility for personal property loss or damage or personal injury. Parents of minor students must be attentive to dropping off and picking up their children on time. Faculty and staff will provide no supervision beyond the time limits of the scheduled program. Adult supervision is required any time students are rehearsing in the ASO Stella Boyle Smith Music Center. Registration in this program is to agree to the terms described within.Parent or Guardian Signature (please type your name)(Required) Your registration is not complete until payment has been received in the ASO office. Registration closes on September 1, 2025.CompanyThis field is for validation purposes and should be left unchanged.
