3589 State Route Highway 110, Desoto, Missouri 63020
636-337-8609
Audition Information Form
Auditions will be held the first part of September 2005. Please fill out application and mail to above address. The audition time and location will be sent to you by mail. You will be asked to perform one audition piece, sight-read and play a scale.
Musician's Information
Musician's Name:
Address:
City:
State:
Zip:
Home Phone:
Alternate Phone:
Birth Date:
Age on October 1, 2005:
School:
Grade as of October 1, 2005:
Parent Information
Name:
Relation to Musician:
Home Phone:
Work/cell Phone:
Email:
Name:
Relation to Musician:
Home Phone:
Work/cell Phone:
Email:
Parent's signature hereby authorizes the musician permission to participate and audition.
x
Parent's signature
Parent's Printed Name
x
Parent's signature
Parent's Printed Name
Instrument:
How long have you played?
Are you a returning member of Jefferson County Regional Youth Symphony? (circle one)