Music Theory Registration Form Music Theory Class Registration "*" indicates required fields These optional (but highly recommended) classes encourage players to build upon their instrumental performance skills by learning more about the building blocks of music. Topics may include clefs and key signatures, intervals and chords structures, aural skills, and much more. Student Name* First Last This field is hidden when viewing the formTuitionIs your student registered for an MYS ensemble in the 2024-2025 season?*The MYS Music Theory program is open to MYS and non-MYS students. Yes No Student's Ensemble(s)Select as many ensembles as applicable. Symphony OrchestraConcert OrchestraSinfonietta OrchestraInterlude OrchestraPortland Chamber StringsPortland Overture StringsHillsboro CamerataHillsboro Chamber StringsHillsboro Interlude StringsHillsboro Overture StringsSymphonic Wind EnsembleFlute EnsembleJazz All-StarsJazz EnsembleParent/Guardian Name* First Last Parent/Guardian Email* Student Email* Was this student enrolled in the MYS theory program during the 2023-2024 season?* Yes No In which Music Theory Class was your student enrolled ? Theory Fundamentals Theory 1 Theory 2 Theory 3 Theory 4 Which theory class are you interested in taking?Please indicate which type of class you are most interested in. Online class placement is based on an evaluation (online quiz). In-Person Music Reading & Rhythm, Portland In-Person Music Reading & Rhythm, Hillsboro Online class – Monday or Tuesday Evenings Non – MYS Student RegistrationIf your student is not participating in our main ensemble program, please complete the following section. Does your student play an instrument or sing in a choir?*NoneVoice/ChoirFluteOboeClarinetBass ClarinetBassoonAlto SaxophoneTenor SaxophoneBari SaxophoneFrench HornTrumpetTromboneTubaEuphonium/BaritonePercussionHarpPianoGuitarViolinViolaCelloBassSelect as many options as applicableParent/Guardian Phone*Student PhoneSchool*2024-2025Grade*12345678910111213142024-2025Date of Birth* MM slash DD slash YYYY Which of the following most accurately describes you?*FemaleMaleNon-binaryTransgenderNot listed (please state)I prefer not to saySelect as many options as applicableGender self descriptionWhat are your pronouns?Select an optionShe/her/hersHe/him/hisThey/them/theirsNot listed (please state)I prefer not to sayThis helps us understand the best way to address you. For example, choose “She/her” if you would like us to say “She’s celebrating her birthday today!” on your birthdayPronoun self descriptionHow did you hear about MYS?Friend or Family memberPrivate TeacherPublic School TeacherSchool Outreach ConcertRadioOnline AdPrint AdvertisingSocial MediaOtherChoose as many as applicableLet us know where or from whom you heard about MYS.Photo/Video Image Release*I understand that MYS will not share audition videos publicly. However I give MYS permission to photograph and record video images and audio of the musician while participating in any MYS activity. I understand these images and recordings may be used by MYS to promote MYS and/or its musicians. I agree that neither I nor the musician will receive compensation for MYS’s use of such images or recordings. YES I do NOT accept the terms and conditions for photo/video image release. WAIVER, RELEASE AND AGREEMENT*I hereby waive, release, discharge and agree to hold MYS and its officers, employees, directors and volunteers harmless from and against any and all claims, damages, injuries, or liability of any nature arising from or related to participation of the musician in any MYS activity, including but not limited to rehearsals, performances, tours and other activities, including without limitation those arising out of or attributable to exposure, infection, and/or spread of COVID-19 or any variant thereof. I accept the above terms and conditions (call MYS office with questions) I do NOT accept the terms and conditions for this waiver and release of claims
