Palm Beach County Youth Orchestra
2285 Potomac Road, Boca Raton, FL 33431

2023-24 REGISTRATION FORM

PLEASE COMPLETE ONE REGISTRATION FOR EACH MUSICIAN

FAMILY INFORMATION Note no credit card fees, all registrations MUST be completed on line even if paying by check. Early registration discount ended 8/18

Musician First Name *

Last Name *

YOPBC Member since:

Orchestra:

Instrument *

Address *

City *

State *

Zipcode *

Phone Number *

Musician Email/if applicable

Gender *

Birth Date * +

Relationship to Participant: *

Primary Contact Name: *

Primary contact Email: *

Preferred Phone: *

Secondary contact: Relationship to Participant:

Secondary Contact Name:

Secondary Phone :

Secondary Email:

If Applicable additional mailing address if different from musician's address listed above

Medical Form

Complete, print & bring to first day of season start

SCHOOL/TEACHER INFORMATION

School: *

Grade (year of registration) *

School conductor/director name or private teacher (if applicable)

Private teacher email address for invitations to performances

How did you hear about us? *

Parent/Member acknowledgements:

Release from Concerts (Philharmonic only) *

Musician must be signed out by parents after concerts

Musician may leave without parent consent

By signing this application you agree that:

MEDIA RELEASE: YOPBC may use photos/videos musician for promotional materials such as print, YOPBC website and/or Facebook

RULES & REGULATIONS: I agree to abide by the rules and policies of YPBOC as outlined in the YOPBC Musician Handbook. I understand and agree to the ateendance policy for rehearsals and concerts.

YOPBC reserves the right to terminate my participation if I do not follow the rules and policies in the YOPBC handbook. For more information on the refund policy and other policies please refer to the YOPBC Musician Handbook.

I FULLY UNDERSTAND THE ABOVE YOPBC RULES & POLICIES *

YES

Signature (use your mouse to sign your name) *

clear

Formatted Text

Price below reflects full yearly tuition for the 2023-24 season from September through May. CREDIT CARD PAYMENT fees have been eliminated. All students will register online. Installment option is available to string, symphony and philharmonic students only. Checks can be sent directly to - YOPBC 2285 Potomac Road Boca Raton, FL 33431. There is no longer a discount for checks or cash payments although those options still exit. As mentioned above, there is an installment plan available see below with the balance due by 12/1/23) Contact us directly to arrange the installment option and check the appropriate box below. *

Philharmonic Orchestra $750

Symphony Orchestra $750

String Orchestra $750

Training Orchestra $600

Chamber Ensembles $250

Non-refundable administration fee ($100)

Installment option /contact us to arrange details.

Current Total:

$0.00

Current Total:

$0.00

CHECK PAYMENTS:

there is no longer a check or cash discount. For check payments please complete registration by selecting "Continue"

Make check out to: YOPBC with your child's full name clearly written on the check.

Mail to:

YOPBC

2285, Potomac Rd.,

Boca Raton, FL 33431