Conservatory Registration 2018-2019 Season - Amazon S3
←
→
Page content transcription
If your browser does not render page correctly, please read the page content below
Conservatory Registration 2018-2019 Season
Student Information
Name Age Birthday
Grade (as of September 2018) School
Home Address
Zip Code Home Phone Student Cell Phone
Student Email
Student’s Conservatory Programs (select one)
Overture Strings Junior Sinfonia Young Artists Philharmonic Chamber Players
Instrument
Years of Experience Private Instructor(s)
School Music Ensemble(s) School Music Conductor(s)
Student T-Shirt Size (select one—see sizing chart on page 4)
Youth S (6-8) Youth M (10-12) Youth L (14-16) Adult S Adult M Adult L Adult XL
Parent/Guardian Information (specify which parent/guardian for email, cell, and work phones)
Parent/Guardian Name(s)
Parent/Guardian Email(s)
Parent/Guardian Cell Phone(s)
Parent/Guardian Work Phone(s)
Medical and Emergency Information
Emergency Contact Name Relationship
Contact Phone Number(s)
Name of Doctor Hospital Preference
Insurance Policy Number
Doctor's Phone Number Insurance Carrier
Member Number
Allergies/Medications/Medical Conditions
Minor Release Form
I/We give my/our permission for my/our child to participate in all regular
activities of The Missouri Symphony Conservatory program, including, but not limited to, travel in privately owned and
commercial vehicles to performances and activities.
I/We give authorization to supervisory personnel of The Missouri Symphony to consent to any medical attention,
treatment, medication, surgery or hospital care rendered, upon the advice of a licensed physician, to my/our minor
son/daughter while under the supervision of such supervisory personnel of The Missouri Symphony.
I/We have medical, health or accident insurance for my/our child. Yes No
I/We fully and forever absolve and release The Missouri Symphony, its members, officers, agents, employees,
volunteers, successors and assigns, and each of them, of and from any and all responsibility, liability or both, for any and
all bodily injuries, damages, or property damage or loss sustained by my/our son/daughter while participating in any
planned activity of The Missouri Symphony Conservatory program or traveling to or from such activities.
This release does not apply to intentional acts or gross negligence on the part of any individual performing service for
The Missouri Symphony Conservatory program in connection with any activity, but shall apply to all other bases of
liability.
I/We indemnify The Missouri Symphony and each of its members, officers, agents, employees, volunteers, successors
and assigns and hold them harmless from all claims, suits, liabilities and actions of every kind and nature arising out of
injuries to or the death of my/our son/daughter while participating in any planned activity of The Missouri Symphony
Conservatory program and for any and all injuries, damages or both, occurring because of the negligent or intentional
acts of my/our son/daughter while engaged in the activity or in transit to and from.
Signature Relationship
Parent/Guardian
Print Name Date
Photo Release
I give permission for The Missouri Symphony to use photos of my child for publicity purposes. Conservatory students
will not be identified by name.
Signature Date
Parent/Guardian
Print Name Date
Commitment to Volunteer
The Missouri Symphony Conservatory relies heavily on volunteers for every aspect of our organization. We highly value
and need your time, talent, and passion to achieve our mission for every Conservatory student. Without your leadership
and commitment to special projects and dedication to our organization, we cannot achieve our greatest success. It is
therefore strongly encouraged that all parents and students contribute in two or more of the following areas:
Rehearsal Coordinator Volunteers- Duties include rehearsal set up and tear down and picking up pizza on pizza nights.
Concert Organization Volunteers- Duties include selling tickets and merchandise, assisting with student check-
in, monitoring donations cases, and assisting with backstage/green room help.
Concert Operations Volunteers- Duties include loading/transporting equipment from Broadway Christian Church
to the concert venue, setting up and tearing down for the concert, and loading/transporting equipment back to the
church.
End of the Year Pizza Party Volunteers- Duties include party set-up, serving food and drinks, party clean up
and chaperoning.
Home Tour Docent Volunteers- Duties include greeting tour guests and following a short script about the area
in which they are stationed. Shifts typically last 2-4 hours.
Holiday Home Tour Volunteers- Duties include overseeing student musicians while they perform for tourguests.
I am flexible. Put me where you need me.
None of the above, but I can do this:MISSOURI SYMPHONY
CONSERVATORY TUITION
2018-2019 SEASON
Overture Strings-- $325/year (Entry-Level Strings)
First rehearsal: August 27, 2018--Final Concert: May 5, 2018
Junior Sinfonia -- $425/year (Grades 3--8)
First rehearsal: August 27, 2018--Final Concert: May 5, 2018
Young Artists Philharmonic -- $475/year (Grades 9--12)
First rehearsal: August 27, 2018--Final Concert: May 5, 2018
All Conservatory rehearsals take place Monday evenings in the Broadway Christian Church.
Located at: 2601 W. Broadway, Columbia, MO 65203
Overture Strings rehearsals: 5:20 pm - 6:10 pm in the Sanctuary
Junior Sinfonia rehearsals: 5:15 pm - 6:20 pm in Fellowship Hall
Young Artists Philharmonic rehearsals: 6:30 pm - 8:45 pm in Fellowship Hall
Tuition Policy
• Tuition for families with more than one child in the Conservatory receive a discounted tuition by
$40/child/year after the first full tuition payment.
• Tuition will NOT be refunded after October 1, 2018 or if a student has attended 3 rehearsals.
I have read, understood, and accepted the conditions of the policies above and the tuition refund policy.
Parent Signature: Date:
Checks should be made payable to The Missouri Symphony Conservatory.
Mail payments to The Missouri Symphony Conservatory, P.O. Box 841, Columbia, MO 65205
A limited amount of financial aid is available upon request. For any questions regarding tuition payments,
please contact Sarah Williams for more information at conservatorycoordinator@themosy.org
For Office Use:
Check Number: Check Number: Check Number:
Payment Amount: Payment Amount: Payment Amount:
Date Received: Date Received: Date Received:*T-shirt Size Information [do not return this page with the registration form]
The best way to select the correct size is to take an existing t-shirts that fits, lay it flat, and then
measure the width and length.
Width Length
Youth
Small (6-8) 17” 22”
Medium (10-12) 18” 23.5”
Large (14-16) 19” 25”
Adult
Small 18” 28”
Medium 20” 29”
Large 22” 30”
X-Large 24” 31”You can also read
