ATOS | Summer Youth Adventure 2016 Online Application

This is a test form. Please do not use. The layout below needs tweaking. Do make comments about how it should be laid out and appropriate wording.

SUMMER YOUTH ADVENTURE
July 10 – 15, 2016
Chicago, Illinois
(and surrounding areas)

Application Form

Name *

Home Address *

City, State, Zip *

Home Telephone

Contact Telephone *

email *

Date of Birth

Month

Day

Year

Will you be driving to the SYA? *

Yes

Arrival Info

If you are not driving, please provide flight or train information for your arrival.

Departure Info

If you are not driving, please provide flight or train information for your departure.

ATOS Membership *

Member Name

If someone else in your household is a member, please enter their name.

Member Chapter Affiliation

Please enter the member's chapter affiliation.

Theatre Organ Exposure *

Frequent

Occasional

Never

Professional Experience *

Not a Professional Organist

Band

Church

Other (please describe in notes at end)

Professional Instructor

If you have had other professional theatre organ lessors, please identify your instructor.

AGO Pipe Organ Encounter

If you have ever attended a Pipe Organ Encounter hosted by a chapter of the American Guild of Organists (AGO), please identify the city(cities) and year(s).

Technical Experiences

If you have ever been a part of a restoration, installation, maintenance, or conservation of a theatre pipe organ, please identify the instrument, venue, and describe your involvement.

Other Instruments Played

Please identify any other instruments that you play.

Other Musical Study

Please list other areas of musical study (i.e.: music theory, music history, band, orchestra, etc.)

Areas of Study Requested

Are there any specific areas of study would you especially like to have covered in this year’s Summer Youth Adventure? If so, please list below.

Thank you for completing this form. Next, please click on Submit. If there are any field edits required, you will be returned to the form to adjust your entries or complete required fields. If your submission is accepted, you will be forwarded to a payment page to make payment online for the SYA event. Paypal processes our credit card orders. You may use any major credit card (Amex, Discover, Visa, Master Card), or you may use a Paypal account. To use your credit card, please click the appropriate links.

Notes for the event organizers may be entered below.

Comments/Notes/Special Needs

Please enter any comments, concerns, requests, or other notes for the event organizers.