Please print out this page and mail it with your audition fee to
WVYO Chamber Music Ensemble Camp
P.O. Box 206, Litchfield Park, AZ 85340-0206
Please make checks payable to West Valley Youth Orchestra
Partial payment due with application - $60
Balance by May 3 is $160/ by May 14 is $180 (Total payment: $220 if postmarked before May 3; $240 if postmarked after May 3)
Auditions are May 22, 2010 at the Desert Springs Community Church, 14440 W Indian School Dr, Goodyear, AZ 85395
Student Name:_____________________________________________________
Address:_________________________________________________________
City:________________________Zip:_________________________________
Home phone:_____________________________________________________
Parent's work phone:_______________________________________________
E-Mail:__________________________________________________________
Age:__________________Present grade level___________________________
School:_________________________________________________________
Instrument:______________________________________________________
Years studied on this instrument:______________________________________
Name, phone, and address of private teacher:_____________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
Name(s) of students(s) you would like to be placed with:____________________
_______________________________________________________________
_______________________________________________________________
Parent/guardian signature:___________________________________________
Total amount enclosed:______________________________________________