Palm Beach County Youth Orchestra
2285 Potomac Road, Boca Raton, FL 33431 
www.yopbc.org

2021-22 REGISTRATION FORM

 
 
PLEASE COMPLETE ONE REGISTRATION FOR EACH MUSICIAN
 
 

FAMILY INFORMATION

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Relationship to Participant: *
 
Secondary contact: Relationship to Participant:
 
Complete, print & bring to first day of season start

SCHOOL/TEACHER INFORMATION

How did you hear about us? *
 

Parent/Member acknowledgements:

Release from Concerts (Philharmonic only) *
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 *
Signature   (use your mouse to sign your name) *
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Formatted Text
CREDIT CARD PAYMENTS Select below: A Credit Card Convenience Fee $20 added to tuition per musician *
Current Total:
$0.00
CHECK PAYMENTS:
For check payments the rates above apply. Please complete registration by selecting"Continue"
and exclude the $20 Credit Card Convenience Fee in your check amount.
 
Make check out to: YOPBC
 
Mail to:
YOPBC
2285, Potomac Rd.,
Boca Raton, FL 33431