WSYO Forms

All members must complete both forms below.

Student Name *

First

Last

Date of Birth *

Grade as of September 2026 *

Instrument *

Years of Study on Instrument *

School Name *

School Music Instructor

Private Music Instructor

Address

Address Line 1

Address Line 2

City

State

Zip Code

Student Email *

Student Phone *

Parent or Guardian *

First

Last

Parent or Guardian Email *

Parent or Guardian Phone *

Secondary Parent or Guardian

First

Last

Secondary Parent or Guardian Email

Secondary Parent or Guardian Phone

Emergency Contact if Different from Parent or Guardian

Other Ensembles

Name *

First

Last

Parent of Guardian Name (if under 18)

First

Last

Conditions *

I agree to the following terms

On this day of 2026, intending to be legally bound hereby, the undersigned agrees and does hereby release from liability and to indemnify and hold harmless Wheeling Symphony Society, Inc. (hereafter, the ORGANIZATION), and any of its employees or agents representing or related to the ORGANIZATION as regards the Wheeling Symphony Youth Orchestra. This release is for any and all liability for personal injuries (including death) and property losses or damage sustained by the participant and occasioned by, or in connection with, any activity of the ORGANIZATION. The undersigned further agrees to abide by all the rules and regulations promulgated by the ORGANIZATION and/or its affiliate groups throughout the 2017-2018 concert season.

Additionally, the undersigned agrees that any photograph, video or other media taken of the participant during any activity or event of the ORGANIZATION may be used in the promotion of the ORGANIZATION by whatever means the ORGANIZATION deems appropriate, including, but not limited to, electronic and print media.

Date of Agreement *

WSYO Student Information Form

WSYO Photo Release Form