Name:_________________________________

Instrument:____________________________

Address:_______________________________

City:________________ State:_____ Zip:_______

Home Phone:______________________

Cell Phone:_______________________

E-mail (Please list a parent e-mail. Festival information will besent to this address.)

_________________________________________________________

School:___________________________

Director’s Name:__________________________

Chair in Ensemble:_______

Current Private Teacher:__________________

Private Teacher’s E-mail Address:________________

How long have you studied privately? _____________

T-Shirt Size (adult) S M L XL

List a sample of repertoire you have recently studied or performed (include solo, concerti, etudes, and significant ensemble or orchestral work.)

Orchestras and other musical activites (include year and chair)

Musical Awards, Scholarships, Honors:

Grade in School (Fall 2015): 7th 8th 9th

Orchestra Director’s Signature of Recommendation:______________________________________(Private or orchestra teacher may include any comments or additional information by attachment.)

Student’s Signature:________________________________________ Date:_______________

Parent/Guardian Signature:__________________________________ Date:_______________

Return with $80 payment to:UGA Orchestra FestivalHugh Hodgson School of Music250 River RoadAthens, GA 30602706-542-2061orchfest@uga.edu

I request a vegetarian lunch (Please Circle)

We accept cash, check, or credit card. If you wish to pay by credit card, please provide the following information:Name on Card_____________________________Type of Card____________

Card Number________________________________ Expiration Date______

JUNIORORCHESTRAFESTIVAL

David Eccles, Guest Conductor

September 11-12, 2015

Skip Taylor & Mark Cedel,Directors