Student Information


Home Address


Private Instruction

Do you take private lessons?

Band/Orchestra Director

Are you in your school band/orchestra program?
Why not?

Guardian Information

Allergy Notification

Does the musician have any allergies?

LSYO Policies

I have downloaded, read, and agree to the LSYO policies.  (Download it here.)

COVID Policy

Assumption of the Risk and Waiver of Liability Relating to Coronavirus/COVID-19

The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to spread mainly from person-to-person contact. As a result, federal, state, and local governments and federal and state health agencies recommend social distancing and have, in many locations, prohibited the congregation of groups of people. Loudoun Symphony Youth Orchestra  (“LSYO”) has put in place preventative measures to reduce the spread of COVID-19; however, LSYO cannot guarantee that you or your child(ren) will not become infected with COVID-19. Further, attending in-person rehearsals could increase your risk and your child(ren)’s risk of contracting COVID-19.

By typing your name below, you are signing this Agreement electronically. You agree your electronic signature is the legal equivalent of your manual signature on this Agreement.

Media Release

I authorize the Loudoun Symphony Youth Orchestra to allow videotaping/recording of all activities related to performances and rehearsals. The Loudoun Symphony Youth Orchestra has my consent to use video tapes/recordings or pictures of my child in rehearsals or performances for the purposes of training and teaching within the program as well as for promotional purposes for the Loudoun Symphony Youth Orchestra.


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