Registration Forms

 

Registration for all musicians

Complete all the forms below:

  • General Information
  • Emergency and Medical Information
  • Permission for Publicity
  • Musician's Contract
  • General Release Form

Pay or plan for the following fees:

 

General Information

Musician's Name *
Musician's Name
Musician's Cell Phone
Musician's Cell Phone
Please select all ensembles you will join from your acceptance list *
Select all that apply
Parent Information
Parent 1 Name *
Parent 1 Name
Parent 1 Cell Phone *
Parent 1 Cell Phone
Parent 2 Name
Parent 2 Name
Home Address *
Home Address

Emergency and Medical Information

Name of Musician *
Name of Musician
Emergency Contact Information
Name of Parent/Guardian *
Name of Parent/Guardian
Parent/Guardian Phone *
Parent/Guardian Phone
Please provide your most reliable phone number.
Emergency Contact #2 Name *
Emergency Contact #2 Name
Emergency Contact #2 Phone *
Emergency Contact #2 Phone
Emergency Contact #3 Name
Emergency Contact #3 Name
Emergency Contact #3 Phone
Emergency Contact #3 Phone
Medical Information
Please share ANY information necessary to make your musicians's experience safe and positive.
Doctor's Name *
Doctor's Name
Doctor's Number *
Doctor's Number
Emergency Treatment Permission
enter your initials in the box below
Date
Date

Permission for Publicity

Name of Musician *
Name of Musician
Name of Parent *
Name of Parent
Permission

Musician Contract

Name of Musician *
Name of Musician
Agreement
Date *
Date

General Release Form

In consideration of acceptance and participation in the Chesapeake Youth Symphony Orchestra, Inc. (hereinafter referred to as “CYSO”) the undersigned and/or his/her parents and/or guardians hereby release the CYSO, its agents, officers, directors, servants and/or employees of and from any and all liability, claims, damages, actions and causes of action whatsoever, arising out of or related to any loss, damage, or injury, including death, that may be sustained by the undersigned as well as damage to any property of the undersigned, at any time during their participation in the CYSO including all rehearsals, performances, trips, or other events in which the undersigned participates by virtue of membership in the CYSO. The parents or guardians do further consent and agree that neither they nor the undersigned, individually or as parent or guardian of a minor will ever institute any suit, action at law, or make any claim against CYSO, its agents, officers, directors, servants and/or employees, for or by reason of any damage, loss or injury either to person or property or both, which the undersigned or their parents or guardians now have or hereafter shall have by reason of any matter, cause or thing arising out of participation in the CYSO. In further consideration of the undersigned participation in the CYSO, the undersigned and their parents and/or guardians agree to indemnify and save harmless the CYSO, its officers, directors, agents, servants and/or employees against any claim for damages, compensation or otherwise on the part of the undersigned or their heirs, executors, administrators or personal representatives, and to reimburse the CYSO for any loss, damages or costs, including reasonable attorney’s fees that the CYSO may have to pay if any litigation arises on account of any claim made by or on behalf of the undersigned. The undersigned further grants to CYSO, its agents, officers, directors, servants and/or employees full authorization to take such action as they deem necessary or appropriate to protect the health and safety of the undersigned, including at the sole discretion of the CYSO and the undersigned sole expense, placing the undersigned under the care of a doctor or hospital at any place for examination and/or treatment. 

Name of Guardian or Musician over 18 *
Name of Guardian or Musician over 18
Agreement
Guardian or Musician over 18 Submitting your name here constitutes signing this agreement.
Today's Date *
Today's Date