2023-24 GTCYS Student Enrollment Form

Student Details

Student Name*

First Last

Student Email*

If not applicable, please enter none@none.com

Enter Email Confirm Email

Nickname/preferred name:

How do you pronounce your name?

Select the student's instrument:*

Does this student plan to enroll in their school band and/or school orchestra for the 2023-24 school year?*

School Band
School Orchestra
Both School Band and School Orchestra
This program doesn't exist at the school

2023-24 School Orchestra Director Name*

If not known, please enter NA for both first and last name. Please enter your school orchestra conductor, not your GTCYS orchestra conductor.

First Last

2023-24 School Orchestra Director Email*

If not known, please enter none@none.com

2023-24 School Band Director Name*

If not known, please enter NA for both first and last name. Please enter your school band conductor, not your GTCYS conductor.

First Last

2023-24 School Band Director Email*

If not known, please enter none@none.com

Student Directory*

Share a fun fact about this student to include in the student directory (ie. a hobby or interest outside of music or a special skill)

Please upload this student's photo for the student directory

The photo should not exceed 5MB and must be in one of the following formats: .jpg, .jpeg .png, Please make sure the photo shows the student's face.
This photo will only be used to help students, conductors, and staff get to know the faces and names of the students in their orchestra. This photo will not be shared with any other parties. If you have trouble uploading a photo, please email it to katie@gtcys.org and include the student's name, instrument, and orchestra.

Accepted file types: jpg, jpeg, png, Max. file size: 5 MB.

Parent/Guardian Details

Parent/Guardian 1 Name*

First Last

Parent/Guardian 1 Email*

Enter Email Confirm Email

Parent/Guardian 1 Employer

Please consider listing your professional information which helps us identify parents’/guardians' areas of expertise for volunteering and special projects. It also can help us connect with the business community for PR initiatives and fundraising activities, including matching gift programs, sponsorships, and grants which play a vital role in sustaining our programs. Your information is never shared with third parties.

Position

Is Parent/Guardian 1 a GTCYS alum?*

Yes
No

Student Lives with Two Parents/Guardians*

(Checking "Yes" will allow you to add information for Parent/Guardian 2.)

Yes
No

Parent/Guardian 2 Name*

First Last

Parent/Guardian 2 Email*

Enter Email Confirm Email

Parent/Guardian 2 Employer

Please consider listing your professional information which helps us identify parents’/guardians' areas of expertise for volunteering and special projects. It also can help us connect with the business community for PR initiatives and fundraising activities, including matching gift programs, sponsorships, and grants which play a vital role in sustaining our programs. Your information is never shared with third parties.

Position

Is Parent/Guardian 2 a GTCYS alum?*

Yes
No

Have Additional Parent/Guardian Address

If you need to enter the name and contact information for an additional parent/guardian that does not live with the student, please select "yes" here.

Yes
No

Relationship to Student*

Parent/Guardian 3 Name*

First Last

Parent/Guardian 3 Email*

Enter Email Confirm Email

Parent/Guardian 3 Employer

Please consider listing your professional information which helps us identify parents’/guardians' areas of expertise for volunteering and special projects. It also can help us connect with the business community for PR initiatives and fundraising activities, including matching gift programs, sponsorships, and grants which play a vital role in sustaining our programs. Your information is never shared with third parties.

Position

Optional: Mailing List Referral

Help us expand our concert audience by referring grandparents, friends, or other family members to GTCYS. We will add referrals to our mailing list and keep them informed of your student's GTCYS activities. Thank you!

Would you like to add a family member or friend to the mailing list?*

Yes
No

Name

First Last

Relationship to Student

Address

Street Address Address Line 2 City State ZIP Code

Preferred Email

Enter Email Confirm Email

Have additional individuals to add?

If you want to enter the name and contact information for an additional individual, please select "yes" here.

Yes
No

Name

First Last

Relationship to Student

Address

Street Address Address Line 2 City State ZIP Code

Preferred Email

Enter Email Confirm Email

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.

Student Medical Information

Please describe any physical, social, emotional, developmental, or mental health conditions or concerns. Please be thorough and transparent. Disclosing complete information helps us more effectively support your student.*

Is this student taking any medication?*

Yes
No

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

Does this student have any allergies, including but not limited to medications, environmental allergies (pollen/animal dander/insect bites), food allergies or intolerances (i.e. shellfish, eggs, gluten, nuts, etc.), or other allergies not listed?*

Yes
No

Please describe each allergy and/or intolerance, the typical reaction, and typical treatment:*

Please check any dietary restrictions or preferences that this student has:*

Gluten-free/gluten intolerant
Dairy-free
Vegetarian
Vegan
Kosher
Halal
Other
None

Other dietary restriction/preference:*

Is there anything else we should know about this student to help us create an optimal learning environment for them?

Emergency contact, if parents/guardians cannot be reached (required)

Emergency Contact Name*

Please list a different contact from the parents/guardians listed above.

First Last

Relationship to student*

Emergency Contact Cell Phone*

Parent/Guardian Medical Consent

Name of authorized parent or guardian completing this consent form:*

First Last

Please check the following boxes to signify your agreement to these statements:

Permission 1*

I give my permission for the student named above to participate in GTCYS, which comprises a range of rehearsals, performances and social events. I understand that there may be times when illness or accident may occur, requiring immediate medical attention, and that it may not be possible to contact me immediately.

Permission 2*

I give my general consent to the administration of minor first aid to the student to deal with matters of comfort or convenience and not requiring the attendance of medical personnel (e.g. cleaning a minor cut or scrape, providing over the counter medicine, etc.).

Permission 3*

In the event of an emergency, I authorize GTCYS to make arrangements for qualified professional medical and surgical care for my child/ward without my prior approval. I understand that I will be notified by the quickest means possible if this authority is exercised. I also agree to accept financial responsibility for charges in excess of those covered by my health insurance.

Media Information and Code of Conduct

Media Disclaimer*

By participating in GTCYS, you give permission for your student's name and likeness to be used in any print, digital, or other promotional materials created by GTCYS or its program partners.

I have read this disclaimer and I agree to the terms.

GTCYS will send out a carpool directory before the beginning of the semester. 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

Our Culture

GTCYS welcomes students and celebrates families of all backgrounds. Together with students and parents/guardians, GTCYS creates a positive, safe, supportive, respectful, diverse, inclusive, equitable, and anti-racist music-learning community by following the expectations and policies outlined below. Please read the following carefully and inform your conductor, rehearsal assistant, or GTCYS staff of any concerns or questions.

At GTCYS, participants are expected to:*

• Be kind.
• Listen attentively.
• Be courageous upstanders for a positive and supportive multicultural learning community.
• Practice, and honor the privilege of making music together.
• Make mistakes and try to learn and grow from them.
• Respect all buildings/spaces where GTCYS activities take place.
• Show up: do our best to abide by the attendance policy and report absences in advance.

I agree to the above terms

CONDUCT & POLICIES

Inclusivity: GTCYS prohibits discrimination regarding race, ethnicity, color, religion, national origin, citizenship status, migrant, immigrant, and refugee status, age, sex, sexual orientation, gender identity or expression, and mental or physical abilities. Each student’s gender identity will be respected, and the student’s preferred name and pronoun will be used. As we strive to create an equitable and inclusive program for all, we encourage every member of the immediate GTCYS community (students, parents/guardians, staff) to help by identifying and challenging individual or systemic acts of racism and other forms of discrimination if they arise.

Behavior Violations: Examples of minor behavior infractions to GTCYS expectations include, but are not limited to: not following directions; speaking out of turn; talking back to conductors, coaches, parent volunteers, or staff; speaking disrespectfully to peers; touching other students or their instruments without permission; disrespecting GTCYS activity space by running or eating/drinking in non-designated areas. Examples of major behavior infractions may include but are not limited to: physical or emotional altercations, intentionally damaging instruments, or vandalizing facilities.

Consequences: Students struggling to follow the expectations outlined above will have a conference with their parents/guardians and GTCYS staff. Before returning to their orchestra’s next activity, students will complete a behavior agreement that outlines the steps they will take to improve. This is an opportunity for students to reflect on their conduct and find ways to grow. If students violate their behavior agreement, a second conference will take place and students may be put on probation or dismissed from the program indefinitely.

Bullying and Harassment: GTCYS strictly prohibits bullying or harassment of any kind. GTCYS will investigate, respond to, remediate, and discipline any reported acts of bullying. Students who have been bullied or harassed, or individuals who have witnessed another member of the GTCYS community being bullied or harassed, should immediately inform the conductor. If the individual does not wish to communicate with the conductor for any reason, the individual should contact GTCYS’ Program Director or Executive Director.

Drugs: The distribution, possession and/or un-prescribed use of narcotics, alcohol, cigarettes, and other controlled substances by members is unlawful and strictly forbidden. Any violation will lead to disciplinary review, including probation or dismissal.

Probation and Dismissal: A musician may be put on probation or dismissed from GTCYS without a refund at the discretion of the conductor and/or Executive Director for reasons including, but not limited to: lack of musical preparedness, behavior/conduct concerns such as, but not limited to: violation of the terms of a behavior agreement, bullying, harassment, vandalism, theft, use of illegal substances, violence, the possession of a weapon, or any behavior that undermines the integrity of the organization.

Positive Ambassadorship: Each GTCYS participant’s conduct reflects on the organization as a whole at all GTCYS activities, including rehearsals, retreats, concerts, special events, and tours. GTCYS rents space for all of our program activities; thus, we are guests at those facilities and must treat these spaces and personnel with utmost respect.

Musical Preparation: Coming to rehearsals prepared is essential for all students’ success. This includes:
• Bring music, a pencil, music stand, and all necessary accessories (e.g. reeds, rock stops, mallets) to every GTCYS activity
• Seek help on difficult music sections (for example from a private teacher, or band or orchestra director if you have one)
• Practice and learn parts at home. Home practice is to learn your own part and rehearsals are for learning everyone else’s part. As a general guideline, devote at least 10 minutes of dedicated practice to your GTCYS music daily; conductors refer to this as the “GTCYS 10.”.

Cell Phones: Cell phones are prohibited during all GTCYS activities except at breaks or if otherwise asked by a GTCYS conductor, such as times where select students may be allowed to use tuning apps on their phones. Cell phones will be confiscated immediately if used at inappropriate times. Repeated violations may lead to probation or dismissal without a refund.

Instrument Liability: Students are responsible for the safety and care of their own instruments and accessories during all GTCYS activities. Lost, stolen, or damaged instruments/accessories are not GTCYS’ responsibility. Should any damage occur to a student’s instrument during a GTCYS activity, the involved student(s) must notify the conductor immediately. GTCYS staff will inform the parents/guardians about the incident to the extent of GTCYS’ knowledge and share parents’ contact information so they may work together to resolve the issue. The conductor and GTCYS staff may schedule a meeting with the students’ parents to determine restorative actions. GTCYS strongly encourages all members to insure their instruments. Students should keep instruments in their cases when they are not rehearsing and maintain great care around other students.

Participation in School Band and Orchestra Programs: GTCYS and schools share a common goal of educating student musicians; GTCYS supplements and does not replace school music programs. Though we cannot make it mandatory, GTCYS strongly encourages all members to actively participate in school band and orchestra programs. If a school band or orchestra concert conflicts with a GTCYS event, GTCYS students should prioritize attendance at their school band/orchestra activity and submit a GTCYS absence form as soon as the conflict is known.

Payment and Refunds: GTCYS families must pay all tuition and fees by the deadlines outlined in the enrollment form. Special payment plans can be arranged if flexibility is needed. Contact katie@gtcys.org with questions about payments.

Conduct and Policies Agreement*

I agree to the above terms

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 2023 – 2024 GTCYS Season.

I, the parent and/or legal guardian of the student named in this form, consent to my student’s voluntary participation in GTCYS’ 2023 – 2024 season of activities. 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 2023-24 season. 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.

This Consent shall be binding upon the parent(s) or guardian(s) whose signature(s) appear(s) below and their respective assigns, and inures to the benefit of GTCYS, and its successors and assigns.

This Consent shall in all respects be governed by, and construed and enforced in accordance with, the laws of the State of Minnesota.

Student Details

Parent/Guardian Details

Optional: Mailing List Referral

Medical Information & Emergency Contact

Parent/Guardian Medical Consent

Media Information and Code of Conduct

Payment Options

Serving Community.
Supported by Community.

Greater Twin Cities Youth Symphonies

Student Details

Parent/Guardian Details

Optional: Mailing List Referral

Medical Information & Emergency Contact

Parent/Guardian Medical Consent

Media Information and Code of Conduct

Payment Options

Serving Community. Supported by Community.

Serving Community.
Supported by Community.