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Intermediate PSO 2019-20 Registration
Please fill out a separate registration form for each student.
Please tell us about your student
Student Home Address
Address Line 1
Address Line 2
Student's Date of Birth
School attending and Grade for 2019-2020 School Year
e.g. XYZ Elementary, 4th grade
If student has their own email, we will only use it for Google Classroom. PSO correspondences will be sent to parents only.
Parent/Guardian #1 Information
Please enter information here for the parent/guardian who will be the primary contact for the school year.
Parent #1 Name
Parent #1 Cell
Best contact number for PSO correspondences
Parent #1 Email
Best contact email address for PSO correspondences
Parent/Guardian #2 Information
Please use information for another parent/guardian.
Parent #2 Name
Parent #2 Cell
Second contact number for PSO correspondences
Parent #2 Email
Second contact email address for PSO correspondences
Allergies & Prescribed Medications
Does your child have any allergies or take any prescribed medication about which we should be aware?
List Allergies or Prescribed Medications
Please have Authorization for Severe Allergy, Emergency Medical Care or Prescribed Medications forms completed by a doctor.
Please let us know if your student has any of the following needs. This will remain confidential and is so we can best support student learning.
Please tell us what you feel we need to know about your student's needs.
Student T-Shirt Size
Please select 1
Please select one of the following. If you need a rental instrument, we will be in touch to prepare for that ahead of the first day of camp.
Which instrument will you be playing?
Not sure yet!
Will you need to rent an instrument for orchestra?
Violin & Viola $24 Cello $45 Bass $60
Please tell us your level of experience.
Intermediate Orchestra Rehearsal Schedule
Beginning PSO will be meet from 5:45-7:00pm on Tuesdays beginning September 10, 2019. Rehearsals will be held at Fenton High School 3200 W. Shiawassee Ave. Fenton in the Band Room. Instructors are Joe Snider and Lisa Vaughn from Prelude String Orchestra. Class size: Minimum 10, Maximum 40.
I can attend regular weekly rehearsals beginning September 10, 2019 at the following time:
Consent To Release Photo/Image/Video
Dear Parent/Guardian: During the current year, your child’s image/photograph or work may be included in a classroom or school project that could be used in one of the following ways: 1) Used as a demonstration project or activity in education workshops, classes, or conferences 2) Used as a sample project/activity created by Fenton Community Orchestra for use in student classrooms 3) Posted on the Fenton Community Orchestra web page and/or Facebook page on the Internet 4) Submitted as samples to program publishers or as contest entries to sponsors 5) Appear in broadcasts or videotapes demonstrating the program in general 6) Videotaped to appear in a school related program to be used by a local television station or school/county project 7) Used in a printed publication such as a newspaper or magazine (including the publication’s online presence) While your child’s name may accompany the photo, no last name or address will be included with your child’s picture when publishing on the Web. There is no monetary compensation for the use of the work, but it will help spread the word about our program and show other students a good example of what can be. Please fill out the form below by selecting ONE box and then entering your Full Name and today's date. If you have more than one student enrolled, you will give an authorization for each student. Your permission grants us approval to publicize without prior notification and remains in effect until revoked. Thank you for your consideration.
I/We DO give permission for the image/photograph or work of the student named below to be used as described above. We are willing to release this into the public domain and understand that no monetary compensation will be given for the use of the materials.
I/We DO NOT give permission for for the image/photograph or work of the student named below be used as described above.
PARENT/GUARDIAN: Please enter the full name of the student you are registering:
PARENT/GUARDIAN: Please enter your full name:
PARENT/GUARDIAN: Please enter today's date:
PSO Tuition Full School Year 2019-20
PSO Tuition Additional Student Full School Year 2019-20
Add 3% to my total amount to help cover the payment processing fees