Interest Form

YENE Interest Form

Please note that the registration form is for a single student. If multiple members from the same family are interested in auditioning, please fill out a separate form for each student.

General Information

Are you new to YENE?

Yes

Student Name

Student Email

Student Last Name

Student Phone

Student Date Of Birth

Student Gender

Male

Female

Home Address

Emergency Contact Name

Emergency Contact Relationship To The Student

Emergency Contact Primary Phone

Student Information

What Instrument Does The Student Play?

For How Many Years Has The Student Played His/Her Instrument?

Does The Student Play Any Other Instruments, If So What Are They?

For How Many Years Has The Student Taken Private Lessons

Private Teachers Name

Private Teachers Email

Repertoire! - Please, name a few pieces that you are working on or pieces that you have completed.

Thanks for submitting!