Young Muscians Concert

The Concert will be held at the Georgetown IOOF Hall on April 12, 2026 at 3:00 pm.

A mandatory rehearsal will be on April 10, 2026 at 4:00 pm for those chosen to perform.

Muscian First Name

Muscian Last Name

Age

Grade

Physical Address

Instrument

Music

School

Composer

Instrument

Music

Composer

Parent/Guardian/Young Adult (18-22) Name

Phone

Young Muscian's contact (optional):

Phone

Music Teacher's contact (optional)

Music Teacher Name

Phone

Mail a USB to
MOTD attn: Deb Kaplan

P.O. Box 1055, Georgetown CA 95634

Email a link to
DebKaplan10@gmail.com

Hand-deliver a USB
to a librarian at the Georgetown Library
6690 Orleans St.

Georgetown, CA 95643

Library Hours:
Sun-Mon CLOSED
Tues-Wed 12 PM – 7 PM
Thurs-Fri 10 AM – 5 PM

Sat 10 AM – 3 PM

Select One Required

I give permission for my child’s (my own) picture and/or concert video to be taken and used for marketing purposes

I do not give permission for my child’s (my own) picture to be taken and used for marketing purposes

I accept the rules for the Young Musicians Concert Program*

Select One Required

My child has my permission to participate in the Young Musician concert if selected.

I, as a young adult, consent to participate in the Young Muscians Concert if selected.

Parent/Guardian/Young Adult Signature

Additional information (i.e: accompainst name or group member name) If applicable

Thank You. Your application has been received.