AMADEUS  PLAYERS   2012  REHEARSAL  RETREAT  

  ________________________________________________    has  permission  to  attend  the  Salem  Youth   Symphony  Association  Amadeus  Players  rehearsal  retreat  on  October  12-­‐13  at  the   4-­‐H  Center  in  West  Salem.    The  retreat  cost  is  included  in  the  tuition  fee.       Signature______________________________________   Relationship_________________________     Date  __________________________________________   Phone_________________________________     _____   I  have  returned  the  medical  information  and  release  form     (Part  of  the  SYSA  registration  form)     Please  indicate  any  special  needs:  foods,  medications,  etc.   _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________     Rooms  will  be  assigned.    Members  I  would  like  to  room  with:   1.   2.       ______I  am  interested  in  being  a  chaperone  for  this  trip.     Chaperones  are  asked  to  pay  the  $40  fee.       _____  I  cannot  chaperone  but  would  like  to  stay  for  a  meal.       _____  Friday  supper  $8.50       _____  Saturday  lunch  $7.00         _____    My  child  needs  a  ride  with  another  member.           Salem  Youth  Symphony         503-­485-­2244   PO  Box  1113             [email protected]   Salem,  OR  97308           www.salemyouthsymphony.org    

Amadeus retreat permission form

Chaperones are asked to pay the $40 fee. _____ I cannot chaperone but would like to stay for a meal. _____ Friday supper $8.50. _____ Saturday lunch $7.00. _____ My child needs a ride with another member. Salem Youth Symphony. 503-485-2244. PO Box 1113 [email protected]. Salem, OR 97308.

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