APPLICATION/STUDENT INFORMATION FORM


(Please mail completed form to SVYO, P.O. Box 1843, Morgan Hill, CA 95038. Forms are due by the second rehearsal of each semester.)




Today’s Date: _______________________

Student’s name: __________________________________________

Instrument: __________________________________________

Music Teacher’s Name: School _____________________________________

Private _____________________________________

Parent(s) name(s): ___________________________________________

Phone Number: ___________________________________________

Address: ___________________________________________

___________________________________________

Date of Birth: _________________ Grade: __________

School: ___________________________________________

E-Mail Address: ___________________________________________

Emergency Contact: ___________________________________________


Payment Information:
Full Tuition _________

Scholarship _________
(Please fill out application)


I will make an additional tax-free contribution of $__________