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Please complete the form when you have the supporting documents ready. You may also mail documents to YOBC 111 Pheasant Run, Suite 100, Newtown, PA 18940. Postmark no later than the deadline: July 7th. If you need any assistance submitting documents, please contact the office: info.yobc@gmail.com.

Student's Name: *

Student's Date of Birth: *

Name of Parent or Guardian: *

Phone number: *

Parent's Email: *

Street Address: *

City: *

State: *

- Select Province/State - Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon ==================== Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Zipcode: *

Instrument: *

Alto Saxophone Baritone Horn/Euphonium Baritone Saxophone Bass Clarinet Bassoon Cello Clarinet English Horn Flute French Horn Harp Oboe Percussion Piccolo Soprano Saxophone String Bass Tenor Saxophone Trombone Trumpet Tuba Viola Violin

Years Played: *

School (fall of this year): *

Grade (fall of this year): *

School Music Teacher: (if applicable)

Experience: List ensembles you have played in and for how long, and/or any other relevant musical experience: *

Additional Comments to Support Your Application: *

I will submit supporting documents by:

Uploading with this form

Emailing separately to chair.yobc@gmail.com

Mailing (snail mail)

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