application

To register for West Valley Youth Orchestra, please print the form below, fill in the information, and mail it with your check for $15 to

West Valley Youth Orchestra Box 206 Litchfield Park, AZ 85340-0206, or email Orchestra Manager (Be sure that your return email is not blocked.) Phone 623-536-2791

Name
Address
City/Zip
Telephone #	Email
School	Grade
Date of Birth	Age
Instrument you are auditioning on:	Years studied on this instrument
Name of private teacher
Private teacher's phone
Private teacher's address
Signature of school or private music teacher	X
Signature of applicant: I will attend all rehearsals with a good attitude and do my best to make beautiful music.	X
Signature of parent or guardian: I will be responsible to pay all fees. If we are unable to pay, we will apply for a work scholarship.	X