Summer Brass Camp Registration - Greater Twin Cities Youth Symphonies

Student Details

GTCYS wants to get to know your student! Personal demographic information collected in this form (gender, race, etc.) is used for data tracking purposes only, and will have no bearing on the student's summer program placement.

Student Name*

First Last

Student instrument:*

Student T-Shirt Size*

Please select the student's T-shirt size. T-shirts are included in summer tuition.

Did this student also register to participate in Summer Camp?*

Yes
No

The GTCYS office will use the contact and musical information you supplied in your Summer Camp Registration form.

Student Information

Grade in 2023-24:*

Please list the grade this student was in during the 2023-24 school year (this current year). If the student is homeschooled, select the approximate grade that would fit with their age.

School in 2023-24:*

Please enter the full name of the school this student attended during the 2023-24 school year. Please do not enter an acronym.

Student birth date:*

Student gender:*

Boy
Girl
Nonbinary

Student pronouns:*

He/him
She/her
They/them

Student race/ethnicity*

We collect confidential information about students’ race/ethnicity to help measure progress toward GTCYS' diversity and equity goals, inform our programming, and report to philanthropic funders who request it.

For this particular purpose, please select the category with which this student most closely identifies. We understand that many students may identify with more than one race or ethnicity. If you are more comfortable, please select “other” and describe the student's race(s). Thank you.

White or Caucasian
Black or African American
Asian or Asian American
Hispanic or Latinx
Native American or Alaska Native
Native Hawaiian or Pacific Islander

If you would like to provide any other details about this student's race, please enter it here:

For example:
-White or Caucasian: If this student is Middle Eastern or Jewish and wishes to specify.
-Black or African American: If this student wishes to list a specific diasporic community.
-Asian or Asian American: If this student wishes to list a specific community.
-Native American or Alaska Native: If this student wishes to list a specific tribal affliation.

Address*

Street Address Address Line 2 City State ZIP Code

Primary Phone*

Please include the primary phone number to contact your family. This should not be a student's cell phone number.

Student Email*

This will be GTCYS' primary mode of communication with the student. Please enter a valid email.

Enter Email Confirm Email

Parent/Guardian Details

Parent/Guardian 1 Name*

First Last

Parent/Guardian 1 Phone*

Parent/Guardian 1 Email*

This will be GTCYS' primary mode of communication with you. Please enter a valid email.

Enter Email Confirm Email

Does the student live with two Parents/Guardians?*

Clicking yes will allow you to complete information for Parent/Guardian 2.

Yes
No

Parent/Guardian 2 Name*

First Last

Parent/Guardian 2 Phone*

Parent/Guardian 2 Email*

This will be GTCYS' primary mode of communication with you. Please enter a valid email.

Enter Email Confirm Email

Have additional Parent/Guardian information?*

Clicking yes will allow you to enter the name and contact information for an additional Parent/Guardian that does not live with the student or lives with the student part time.

Yes
No

Parent/Guardian 3 Name*

First Last

Parent/Guardian 3 Phone*

Parent/Guardian 3 Email*

This will be GTCYS' primary mode of communication with you. Please enter a valid email.

Enter Email Confirm Email

Parent/Guardian 3 Address

Enter parent/guardian 3 address if the student lives with this parent/guardian part time.

Street Address Address Line 2 City State ZIP Code

Musical Details

How many years has this student played their instrument?*

Please enter the titles and composers of up to three pieces of music this student is currently practicing (please be specific, including arrangers, if applicable).*

This information will help the conductors place students in a orchestra that will be the best fit. The pieces listed can be solo or ensemble pieces and can come from any musical style (classical, jazz, folk, pop, etc.)

Has this student ever been in a GTCYS school year orchestra before?*

Yes
No

If this student participated in a GTCYS school year orchestra in the 2023-24 season, select below:*

How did you first hear about GTCYS?

From a school music teacher
From a private music teacher
From a friend
From a current GTCYS student
From a GTCYS parent
From a GTCYS alumni
From a GTCYS advertisement
Social media

Please specify which platform (Facebook, Instagram, LinkedIn, YouTube):

Name of GTCYS alumni

Please enter the name of the GTCYS alumni so that we may acknowledge them.

Name of GTCYS parent

Please enter the name of the GTCYS parent so that we may acknowledge them.

School Music Teacher Name

Please enter the name of the school music teacher so that we may acknowledge them.

Private Music Teacher Name

Please enter the name of the private music teacher so that we may acknowledge them.

Friend Name

Please enter the name of your friend so that we may acknowledge them.

GTCYS Student Name

Please enter the name of the GTCYS student so that we may acknowledge them.

Please specify (Minnesota Orchestra Playbill ad, Instagram ad, etc.):

Medical Information & Emergency Contact

This information is required to support the health and safety of GTCYS students at all GTCYS activities, and it will be kept confidential.

Please be forthright. Disclosing complete and accurate information is in your student's best interest so we can support their success in GTCYS.

Health Insurance Company

Health insurance information is not required, but helpful for GTCYS to have on file in case of emergency.

Health Insurance Details (ID number, group number, and/or subscriber)

Please include the name and phone number of an individual GTCYS can contact if parents/guardians listed above cannot be reached:

Emergency Contact Name*

First Last

Emergency Contact Phone*

Emergency Contact Relationship to Student*

Food Allergies and Dietary Restrictions*

None
Peanut Allergy
Gluten Allergy
Dairy Allergy
Vegetarian
Vegan
Kosher
Halal
Other

Other (please describe):*

Please list all medications that the student requires, including purpose, name, dosage, and frequency. Should any of these be kept with the student? Do any require administration on an emergency basis? If so, describe.*

If this does not apply, please enter "none."

Please describe any medical conditions including any physical, emotional, behavioral, or mental health conditions. Please include any coping strategies or accommodations needed for these conditions, as well. Please be specific.*

If this does not apply, please enter "none."

GTCYS will send out a carpool directory during the week before camp. This directory includes addresses and primary parent emails. Please click below if you wish to be included in this carpool directory.*

YES, please include my family in the carpool directory
NO, I would like to OPT OUT of the carpool directory

GTCYS CONSENT, AUTHORIZATION, AND RELEASE*

THIS CONSENT, AUTHORIZATION, AND RELEASE (the “Consent”) provided to the Greater Twin Cities Youth Symphonies (“GTCYS”) in connection with its 2024 GTCYS Summer Camp.

I, the parent and/or legal guardian of the student named in this form, consent to my student’s voluntary participation in GTCYS’ 2024 Summer Camp. I acknowledge that there are risks associated with participation including, but not limited to, physical and/or psychological injury, pain, suffering, illness, disfigurement, temporary or permanent disability, death or economic loss. Such injuries or outcomes may arise from GTCYS or other’s actions, inactions, or negligence, or the condition of GTCYS’ rented venues or facilities. I assume all risks of Student’s participation in GTCYS, whether known or unknown to us. I agree that I have been given sufficient opportunity to ask questions and obtain information about the programs and measures being taken to promote health and safety. I understand that my student is free to withdraw from participation at any time. My contact information is included in this form.
I, the parent and/or guardian, release GTCYS of all claims arising from Student’s participation in GTCYS and agree to indemnify, protect and save GTCYS harmless against and from any and all damages, losses, liabilities, obligations, claims, costs and expenses (including, without limitation, attorney fees and court costs) of any kind or any nature whatsoever which may at any time be imposed upon, incurred by or asserted or awarded against the GTCYS arising in whole or in part out of Student’s participation during the 2024 Summer Camp. This release is without reservation of any kind except liabilities arising out of any wrongful acts on the part of GTCYS, its directors, and employees.

Media Disclaimer*

By registering and participating in GTCYS, parents/guardians give permission for their student’s image and likeness to potentially be used in print, digital, or other media for program and promotional materials created and published by GTCYS or its program partners. Online photos will only include student names when applicable, at our discretion.

Yes, I understand

Payment

Next Step: Summer Brass Camp Payment

Select ‘Submit’ below and follow the instructions on the next page to pay tuition. If you plan to apply for tuition assistance, you may specify this on the following page. If you exit this page without clicking 'Submit,' your information will be lost.

Thank you!

Phone

This field is for validation purposes and should be left unchanged.

Student Details

Student Information

Parent/Guardian Details

Musical Details

Medical Information & Emergency Contact

Payment

Serving Community. Supported by Community.

Serving Community.
Supported by Community.