Youth Orchestra Membership Application - Duluth Superior Symphony Orchestra

20-21 DSSYO Membership Application

Click here if you’d prefer to download a copy of the application and mail to the DSSO Office at 130 W Superior Street Suite LL2, Duluth, MN 55802

20-21 Youth Orchestra Membership Application

First Name *

Last Name *

Student Email *

If student does not have email, please put parent email

Student Cell Phone

Street Address *

City *

State *

Zip Code *

Home Phone

Age *

Birthdate *

Instrument Information

First Instrument *

Number of Years Played *

Number of Years Private Lessons *

If none, please enter 0

Second Instrument (if any)

Number of Years Played

Number of Years Private Lessons

Education

School and District *

Grade (Fall 2020) *

School Music Teacher *

If none, put N/A

Private Teacher *

If none, put N/A

In 2019-20, I was a member of DSSYO's *

If you are a returning DSSYO member, are you auditioning for a different orchestra?

Yes, I plan to submit an audition

No, I'd like to stay in the same group and do not need to audition

Parent/Guardian Information

Primary Contact *

First and last name

Relationship to member *

Mobile Phone

Email *

Secondary Contact

First and last name

Relationship to member

Mobile Phone

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If you are human, leave this field blank.

20-21 DSSYO Membership Application

Instrument Information

Education

Parent/Guardian Information

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