Member Information Form - Welcome to the Kankakee Valley Youth Symphony Orchestra

Musician's Name(Required)

First Last

Address

Street Address City State / Province / Region ZIP / Postal Code

Musician's Cell Phone(Required)

Parent or Guardian Cell Phone(Required)

Parent or Guardian Name(Required)

First Last

Musician's Email(Required)

Parent or Guardian Email(Required)

Instrument(s)(Required)

School(Required)

Current Grade(Required)

Band or Orchestra Director's Name(Required)

Private Instructor (if applicable)

Please specify t-shirt size(Required)

Youth large

Adult small

Adult medium

Adult large

Adult XL

Adult 2XL

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