Registration

Registration

Thank you for your interest in the Eastern Maryland Youth Orchestra. Registration information is below.

You may register for EMYO online using the form below. If you would rather mail in a registration form, you may download and print a copy here. EMYO Registration Form.

Upon completion of the registration form, you will be given a link to Eventbrite, where you can pay the registration fee online. If you would prefer to pay by credit card over the phone (or in person at the first rehearsal), please email John Leupold at [email protected]. You may also mail a check made out to Washington College to the address below.

Please submit completed forms to the following address:

EMYO Registration c/o John Leupold 300 Washington Ave. Chestertown, MD 21620

Thank you for deciding to join the Eastern Maryland Youth Orchestra. Please submit the following information to secure your spot in this exciting ensemble.

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Student First Name*

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Student Last Name*

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Home Address (street, city, state, zip)*

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Student Birth Date*

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Instrument to play in EMYO*

If a student plays multiple instruments or a different instrument, please indicate below in the "Other instruments" field.

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Number of years playing this instrument*

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OTHER Instruments

Please list any other instruments you currently play.

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Are you currently taking private lessons?*

Yes

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If yes, for how long?

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Private Teacher Name

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Private Teacher Email

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Private Teacher phone

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Contact Parent/Guardian Name*

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Contact Parent/Guardian Email*

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Contact Parent/Guardian Phone*

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Contact Parent/Guardian Address (if different than above)

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Emergency Contact Name*

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Emergency Contact Phone*

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Relation to Student*

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I give permission for the CPYO to publish my non-emergency contact information in a directory for distribution only to CPYO participants.*

Yes

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As the legal guardian of the above mentioned student, I grant the Eastern Maryland Youth Orchestra, its representatives and employees the right to take photographs of my child and my child's property in connection with the above-identified subject. I authorize EMYO, its assignees and transferees to copyright, use and publish the same in print and/or electronically. I agree that EMYO may use such photographs of my child with or without my child's name for any lawful purpose, including for example such purposes as publicity, illustration, advertising and Web content. By typing my name in the box below, I indicate I have read and understand the above:*

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