Aotea Youth   Symphony - Application for Audition

Please complete the information marked with an * and  fax to 303 4328, or post to Paul Harrop, 803C/135 Grafton Rd, Grafton, AK. Phone inquireis to Paul Harrop on 021 987 589, or 09 307 2361.

*Surname:

*Forename:

*Address: Street

*Suburb:

*City:

*Home Phone:

*Email:

*Mobile:

Date of Birth:

School or Tertiary   Institute:

Occupation:

*Instrument:

Music Teacher:

Own  Hired    Borrowed  (delete as required)

*Grade passed on instrument of choice:                                         Solo Experience: Orchestral Experience:

Other Instruments:

Other Interests:

Audition Work   Played:

Parent(s) Names:

Address & Phone   if different from above:

Day Phone:

Email:

If selected for the   Symphony (or Sinfonietta) I agree to the regular commitment of weekly   rehearsals and to participate in the concerts and other events associated   with the Aotea Youth Symphony Inc.  I agree to limited use of this information   by the Aotea Youth Symphony Inc. for administrative   purposes only.

Signed:__________________________________  (Or parent Guardian if under 18 years of   age)

Print Name of   Signatory:

For Orchestra Use   Only:  Auditors Comments:

Comments:

Set Extracts:

Overall comments:

Place Offered:

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