Hoosier Star 2010 Application

First Name *
Last Name *
Address *
City *
State
Zip Code *
Home Phone
Mobile Phone
Email *
Date of Birth (mm/dd/yyyy) *
Gender *	MaleFemale
Division (At time of Audition): *	Adult (18 or over)Youth (17 and under)
Type of Music [Optional]
Song [Optional]
Audition Date Preference	Preferences will be honored on a first-come, first-served basis. You will be notified of your audition time at least one week before auditions. Saturday: March 13 (8am-5pm CST)Sunday: March 14 (12-6pm CDT)
Time Preference
I give permission to the LCSO to use my pictures and name for promotional and performance purposes. I understand that use of the Hoosier STAR name and/or logo belongs specifically to La Porte County Symphony Orchestra. No one may use the Hoosier STAR name and/or logo without written consent from the La Porte County Symphony Orchestra.Permission *	Yes I give my permission.
Please enter the darker text from the image *

Support the Symphony

Your contribution of any level will make a difference in the community. Recognition will be given in our program book throughout the year.