Registration Form - Flurry Youth Institute Traditional Music Workshop

Return to: Maura McNamara, Orchestra Director, Lake Ave School, 126 Lake Avenue, Saratoga Springs, NY  12866

Student’s Name and Instrument: __________________________________

School District/Grade/Building: __________________________________

Parent’s Name: ___________________________ Phone Number: __________________

Emergency Contact and/or mobile phone number:_______________________________

Email: ____________________________________

*** We will be communicating through you via email, please make sure that you have entered the address correctly and please check your email if you do not do so regularly.

If you are currently taking private lessons, please write the name of teacher:___________

NYSSMA level (if applicable): _________

*** Parents- we need your help! ***

We will need volunteers on the day of the workshop. If you are available, please indicate:

___ Yes, I am available all day

___ Yes, I am available the following hours between 8 AM and 3:30 PM: _______

Other skills or services you may be willing to donate: _______________________

(photography, lunch/dinner for performers, etc)

Costs:

___Saratoga - January 26th

$20 before January 21st. After January 21 st/at door: $25 Skidmore Students $10

___Capital District - February 9th

$20 before February 4 th. After February 4 th/at door: $25 Russell Sage Students $10

Both Venues:

Afternoon Performance- open to the public: $3.00 per person, children under 10 free. Tickets will also be available at the door.

___ x $3.00 2 PM Concert performance tickets- children under 10 free- must be supervised. No paper tickets will be issued, names of families who have purchased tickets will be at the door.

Please make checks out to: DanceFlurry Organization.

Check # __________

If the building is closed due to inclement weather, the event will be rescheduled. If the building is open, the workshop will be held as planned.