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Encore Community Music Association
An Intergenerational Organization
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Community Music Registration
2024-25 COMMUNITY MUSIC REGISTRATION FORM
Rehearsals for the Fall Semester will begin on September 23, 2024
Winters Mill High School, 560 Gorsuch Rd, Westminster
Select Ensemble (check all that apply)
Enrichment Band (1-2 yrs' experience)
Enrichment Orchestra (1-2 yrs' experience)
Clarinet Ensemble (3+ yrs' experience)
Full Orchestra - winds, brass, percussion, strings (2+ yrs' experience)
Saxophone Ensemble - by invitation only
Name
*
First
Last
Adult/Student Grade 2024-25
*
Student Grade 4-5
Student Grade 6-8
Student Grade 9-12
College Student
Adult
Instrument
*
Flute
Clarinet
Bass Clarinet
Oboe
Bassoon
Alto Saxophone
Tenor Saxophone
Baritone Saxophone
Trumpet
French horn
Trombone
Baritone/Euphonium
Tuba
Percussion
Violin
Viola
Cello
String Bass
Oher
Please select from the drop down list above.
Experience on primary instrument
*
1 yr experience
2 yrs experience
3 yrs experience
4 yrs experience
5+ yrs experience
How did you hear about Encore?
*
Friend / Family
School Director
Social Media
Encore Camp
Email
Attended a Concert
Other
Parent Name (if under 21)
First
Last
Phone Number
*
Email
*
Home Address
*
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Consent
*
I approve the agreement below.
I understand that by registering for this program, I irrevocably release the Encore Community Music Association, Carroll County Arts Council, Winters Mill High School and Carroll County Government from any and all claims or liability arising from the activity, the instructors or any other person participating in the program. I also agree that photographs taken of my child or myself while participating in this activity may be used for publicity purposes. I understand it is my responsibility that I/my child attend rehearsals and agree to make payments at the beginning of each semester. I hereby give permission for my child/myself to participate in the Encore Community Music Program.
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