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AUDITION REQUEST FORM (Youth Symphony of the Southwest)

Name _______________________________________________
Age/Grade ___________________________________________
Address _____________________________________________
Phone _______________________________________________
E-Mail_______________________________________________
Instrument ___________________________________________
Years of study ________________________________________
Private Teacher _______________________________________

AUDITION FEE $15 PAYABLE TO:  Youth Symphony of the Southwest
                                                         (Check or Money Order)
                                                    
Mail Form and $15 Audition Fee to: 
                                                     Youth Symphony of the Southwest
                                                     Attention:  Patricia Cosand
                                                     c/o 213 North Morris
                                                     Mesa, Arizona 85201

You will be assigned a specific audition time after the receipt
of your application.

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