2018-2019 AMP Youth Orchestras Application I wish to audition for:*AMP Junior Youth OrchestraAMP Senior Youth OrchestraI have read the audition requirements and will be prepared to perform them to the best of my abilities at the audition:* Yes Personal InformationStudent First Name*Student Middle NameStudent Last Name*Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Which county do you live in?*Please select oneFultonDekalbGwinettClaytonFayetteHenryDouglassCobbForsythRockdalePauldingCherokeeOtherParent/Guaridan Name* First Last Parent/Guardian Email* Parent/Guardian Home Phone*Parent/Guardian Cell PhoneWould you like to provide information for a second Parent/Guardian?* Yes No Second Parent/Guardian First Name First Last Second Parent/Guardian Email Second Parent/Guardian Home PhoneSecond Parent/Guardian Cell PhoneDoes your household receive federal or state benefits such as SNAP or TANF, WIC, Medicaid?*YesNoPlease select your ethnicity from this list:*Please select oneBlack/African AmericanAmerican IndianHispanic and Latino AmericansCaucasianAsian/Pacific IslanderOther/Multi-ethnicChoose not to discloseEmergency Contact InformationEmergency Contact Name* First Last Emergency Contact Email* Emergency Contact Phone*Student InformationStudent Birthday - MM/DD/YY* Date Format: MM slash DD slash YYYY Age of Student on September 4, 2018*Grade Level of Student in September 2018*School Student is attending for 2018-2019*Does child qualify for free/reduced price lunch at school?*YesNoFood Allergies (if none please type "none")*Medical Conditions (if none please type "none")*Musical InformationInstrument Student will Audition On:*Please Select OneViolinViolaCelloDouble BassFluteOboeClarinetBass ClarinetBassoonFrench HornTrumpetTromboneBass TromboneTubaOrchestral PercussionHow Many Years Have You Played in Concert Band?*How Many Years Have You Played in String Orchestra?*How Many Years Have You Played in Symphony Orchestra?*Do You Own Your Own Instrument?*YesNoDo You Currently Borrow an Instrument from Your School?*YesNoWill You Be Borrowing an Instrument from AMP?*YesNoName of School Music Teacher (if none please type "none")*School Music Teacher Email School Music Teacher Phone NumberName of Private Music Teacher (if none please type "none")*Private Music Teacher Email Private Music Teacher Teacher PhoneCAPTCHA
