Sistema Tulsa - High School Programs 2018-2019 Question Title * 1. Family Contact Information Adult/Guardian Name Address Address 2 City/Town State/Province ZIP/Postal Code Email Address Best Phone Number Question Title * 2. Student Information Section School Name Last Name First Name Birthdate mm/dd/yy Grade in 2018-2019 Question Title * 3. T-Shirt Size Youth Small Youth Medium Youth Large Adult Small Adult Medium Adult Large Adult Extra Large Question Title * 4. Instrument Question Title * 5. What is your current musical level (self-assessment) Intermediate Late Intermediate Early Advanced Advanced Question Title * 6. Has student played his/her instrument for at least 3 years? Yes No Question Title * 7. Does student have any food allergies? Yes No Question Title * 8. If yes, what allergies? Question Title * 9. Does this student participate in the free and/or reduced lunch program at his or her school? Yes No Question Title * 10. Student can arrange their transportation to and from the Sistema Tulsa site. Yes Question Title * 11. Family can attend orientation on August 30 6:30-7:00 Yes No Done