MID-COLUMBIA YOUTH SYMPHONY

2014/15 AUDITION APPLICATION

All information must be filled out completely and legibly.

Please list your name as you would like it to appear in the concert programs. Send this form with your audition
fee of $25 to: Mid-Columbia Symphony, P.O. Box 606, Richland, WA 99352. We accept personal checks
only. NO CASH, PLEASE.

MEMBER INFORMATION
Member’s name: Instrument: Yrs. played:
Home Address: City: State Zip Code:

(H) Phone: (M) Phone: E-mail:

Male Female Birth Date: Age (as of 9/1/14): Grade (as of 9/1/14):

Private Teacher: E-mail: Phone:

Flutists: Do you play piccolo? Yes No Oboists: Do you play English horn? Yes No

Preferred Audition Date: Dec. 6th Dec. 7th (Your specific audition time will be communicated to you by email.)

School you will attend September 2014:

Band or Orchestra Director:
Do you participate in a school ensemble? Yes No
MCYS members are required to participate in school band or orchestra where available. Students selecting “No” will need to submit
a “School Participation Exemption Form” signed by their director or private teacher where none is available.

Band Orchestra Other(s):

How did you first hear about MCYS? Band Teacher Orchestra Teacher Private Teacher
Other:

PARENT INFORMATION Please indicate the preferred primary parent contact: Father Mother
Father’s Name: Please circle one: Dr. Mr.
Home Address: City: State Zip Code:

(H) Phone: (M) Phone: E-mail:

Father’s Employer: Work Phone:
Mother’s Name: Please circle one: Dr. Mrs. Ms.
Home Address: City: State Zip Code:

(H) Phone: (M) Phone: E-mail:

Mother’s Employer: Work Phone:

1177 Jadwin Ave., Suite 103 | Richland, WA 99352 | Tel: (509) 943-6602 | MCYS@midcolumbiasymphony.org