Chamber Music Academy Application

To Apply for the PYCO Chamber Music Academy

Thank you for your interest in participating in the PYCO Chamber Music Academy! After reviewing the audition requirements, please fill out and submit the application below. A non-refundable $25 application fee is due with your submission. You will be contacted upon receipt of this form to schedule your audition.

Application

* Indicates required field

Student Name *

First

Last

Date of Birth *

Age of Student *

Gender Pronouns *

Instrument(s) *

Total Years of Study *

Years of Study with Current Private Teacher *

Grade (2022-2023) *

School that You Attend *

School District *

Student Email *

Has the student participated in any PYCO program/ensemble before? *

Yes No

If yes, which program/ensemble? *

Any other ensembles in which you currently play, if applicable: *

Parent/Guardian Name *

First

Last

Parent/Guardian Name *

First

Last

Primary Phone Number *

Secondary Phone Number *

Parent/Guardian Primary Email *

Parent/Guardian Secondary Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Private Teacher Name *

First

Last

Private Teacher Phone Number *

Private Teacher Email *

School Music Teacher Name *

First

Last

School Music Teacher Phone Number *

School Music Teacher Email *

I, the undersigned, as Parent/Guardian of the above-named minor do hereby release the Pittsburgh Youth Concert Orchestra, its employees and its instructors, from any and all liability from any accidents which may occur while my child is participating in rehearsals and concerts. I also authorize the use of any photograph or video taken for publicity purposes. *

Please write any comments or questions below. *

Submit