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Youth Symphony Personnel Form

Last Name* First Name*
  Age Youth Symphony Sinfonietta Instrument
Address*
City*
St*
Zip*
Phone*
Cell
E-mail*
Grade
School attending

Please write a brief description of yourself (when you started music lessons, teachers you have studied with, awards and accomplishments, summer music camps, honor bands and/or orchestras, master classes, other youth orchestras, other interests or hobbies, etc).

California Institute of Music is completely supportive of San Diego area public school music programs. CIM expects that all of the members of the Southern California Youth Orchestra shall also participate in their public school band and/or orchestra activities. CIM recognizes that the Southern California Youth Orchestra is offered in addition to, not in place of, public school music education.

I am a memeber in good standing of my school music program
yes, no, not applicable

Student Initials
Parent Iinitials if under 18 Date

our mailing address is: CIM P.O. Box 9401, Rancho Santa Fe, CA 92067, USA