Copy of Sistema Tulsa CYO2 Application 2017-2018 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 2017-2018 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. Has student played his/her instrument for at least 2 years? Yes No Question Title * 6. We will hold auditions from 4:30-6:00 on select Wednesdays. When would like to schedule your audition? August 23 August 30 I would like to schedule another time 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 meet all the repertoire and scheduling requirements. Yes No Question Title * 11. Student can arrange their transportation to and from the Sistema Tulsa site. Yes No Done