Ensemble Registration All applicants are welcome to disclose their personal pronoun preferences, though no one shall be compelled to do so. Suzuki School ☰ Menu About Us General Information Admissions Staff Directory Orchestra, Ensembles & Chamber Music Calendars & Events New Students Alumni UNI Suzuki School Ensemble Registration You must have JavaScript enabled to use this form. Orchestra and/or Verismo Options (you may choose NIJO, NIYO, or Verismo OR NIJO plus Verismo OR NIYO plus Verismo. Northern Iowa Youth Orchestra (grades 9 – 12) Friday rehearsals, tour, and concerts Northern Iowa Junior Orchestra (grades 5 – 8) Friday rehearsals, tour, and concerts Verismo Chamber Ensembles (grades 2 – 12) see scheduling preferences below, includes 10 coached sessions per semester and performances. Student Last Name Student First Name Preferred Pronouns (Optional) - None -he/himshe/herthey/them Student Email Grade in School for fall 2025 Student Birthdate (required for ages 18 and under) Instrument Parent or Guardian Email Optional Additional Email All correspondence will be sent to the above email addresses. I give permission to share these emails with other ensemble members. - None -YesNo Parent phone Student phone Mailing Address Street City Zip Person responsible for payment Payee’s email address Parent #1 or Guardian name (adult applicants can put NA) Parent 1 Relation - None -MotherFatherOther Parent #2 Parent 2 Relation - None -MotherFatherOther Private lessons - None - I am currently taking lessonsI am not currently taking lessons Private lesson teacher Private lesson teacher email address Private lessons set Teacher name Teacher Emai Teacher Phone Comment School (put NA for adult applicants) Orchestra or Band Teacher (put NA if this does not apply) Current piece Title Composer Book Ensemble experience: Check as many as applicable. Northern Iowa Junior Orchestra Northern Iowa Youth Orchestra Verismo Honors or All-State Church or school small ensemble School orchestra or band Other… Enter other… Required ONLY for Verismo ensemble scheduling My child is currently in a Verismo ensemble. - None -YesNo Ensemble preference - None -Stay with current ensembleReassign to another ensembleFirst time member Scheduling options Please indicate student’s availability for Verismo ensemble scheduling. Select as many options as possible. Monday 4:00 5:00 6:00 7:00 Wednesday 3:00 4:00 5:00 6:00 7:00 Thursday 4:00 5:00 7:00 Friday 4:00 7:00 Financial Obligation *I understand that my financial obligation to the UNI Suzuki School for participation in orchestra (NIJO or NIYO) is for the activity term (September – December OR January -- April/May OR June – August). Should participation be discontinued mid-term, I agree to pay all fees in full. I understand that if I default on payments, participation privileges will be discontinued and my bad debt will be sent on to a collection agency for recovering fees due.I understand that my financial obligation to the UNI Suzuki School for participation in Verismo is for the full two terms (September - May). Should participation be discontinued mid-term, I agree to pay all fees in full. I understand that if I default on payments, participation privileges will be discontinued and my bad debt will be sent on to a collection agency for recovering fees due.Participation *I understand that participation in all sessions, rehearsals, recitals or concerts and tours, if offered, ensure the optimum success and progress. The student will follow the attendance policy for their ensemble. By accepting a position in this ensemble the student agrees not to join activities that will conflict with rehearsals, concerts, or tour.Photo Release *I understand that the UNI Suzuki School or agents may photograph and/or video/audio record any UNI Suzuki School function which my family may attend. I hereby grant UNI Suzuki School my permission to use such photos or videos for educational, historical or publicity purposes.Information Release *I understand that my contact information will be shared with the UNI Suzuki Association and other staff members. Youth Activity Release FormStandards of Behavior for Youth Participants Parental Permission As parent or legal guardian of registrant, I have read the Youth Activity Release Form and the Standards of Behavior and agree to these terms and I give permission for he/she/they to attend all selected activities including rehearsals, sectionals, tours, and concerts. - Select -YesNo Submitted by (name and relationship to registrant) Waiver Attendee agrees to indemnify, defend, and hold harmless University, the Board of Regents/State of Iowa, and the State of Iowa, and their employees and agents, from and against any and all actions or causes of actions, claims, demands, liabilities, loss, damage, injury, cost, or expense of whatever kind or nature, for injuries to or the death of any person or persons, or damage to or loss of property alleged or claimed to have been caused by, or to have arisen out of or in connection with or to the use of University premises or this Agreement. Notwithstanding any of the foregoing, Attendee shall not be obligated to hold harmless, defend, or indemnify University from and against any claim, loss, cost, or liability proximately caused by the sole negligence of University. - Select -YesNo Medical information Activity personnel should be aware of the following medical, pre-existing or emerging developmental or behavioral concerns, or allergy information for the registrant. Parent to contact in case of an emergency Phone Number If parent not available, please contact Phone Indicate any known or anticipated rehearsal, concert, or tour conflicts. Leave this field blank
