KANSAS MUSIC EDUCATORS ASSOCIATION INSTRUMENTAL LIVE AUDITION
APPLICATION WORKSHEET
THIS PAGE MAY BE USED FOR ON-SITE REGISTRATION
($100 PER AUDITION)

Parents' email addresses collected on this form will not be shared outside of KMEA and will be used strictly for communication regarding the All-State Groups. Parents of students selected will receive further information regarding their student's activities in Wichita directly from the KMEA All-State Ensembles Manager. Money saved on postage costs can then be used for programs which benefit students.

STUDENT'S NAME

 		 INSTRUMENT

 
GROUP PREFERENCE #1
(circle one)

BAND   JAZZ BAND   ORCHESTRA
 GROUP PREFERENCE #2
(circle one, if auditioning for more than one group)

BAND   JAZZ BAND   ORCHESTRA
 PREVIOUS KMEA ALL-STATE PERFORMANCES

0   1   2   3
YEAR IN SCHOOL

9   10   11   12
ORCHESTRAL EXPERIENCE (Wind/Perc.)

Y   N
 # Years
 
TRI-M MEMBER

Y   N
ADDITIONAL INFORMATION, SUCH AS INSTRUMENT PREFERENCE (IN CASE OF MULTIPLE AUDITIONS)
 
PARENT NAME

 		 PARENT PHONE

 		 PARENT EMAIL

 
STUDENT CELL PHONE

 		 STUDENT EMAIL

 
PARENT ADDRESS (street, city, state, zip)

 
SCHOOL

 
DIRECTOR'S NAME

 		 DIRECTOR'S CELL PHONE

 		 PRINCIPAL'S NAME

 
DIRECTOR'S EMAIL ADDRESS

 		 PRINCIPAL'S EMAIL ADDRESS

 



This page may be used for On-Site Registration ($100 per audition).