Enrollment – Orlando – Siman Orchestral Foundation

SIMAN ORCHESTRAL FOUNDATION will send you an email with the official acceptance to the Orchestra.

IMPORTANT: To fill out this form, we recommend you use the latest version of Chrome or Firefox browser. This form won’t work on Safari browser.

PAYMENT ANNUAL ENROLLMENT

MONTHLY PAYMENT

Applicant's First Name*

Applicant's Middle Name

Applicant's Last Name*

Date of Birth (mm/dd/yyyy)*

Age

Gender*FemaleMale

City*

State*

Home Address (Street)*

Zip Code*

Race* American Indian / Alaskan NativeAsianBlack / African AmericanWhiteOther

Ethnicity*Hispanic / LatinoHaitianOther

Name of School Attending* (If home-schooled, also indicate here)

Grade / Year* Please indicate grade for current school year

Is child currently a student in Siman Orchestral Foundation (Simanof)?*

How did you hear about Siman Orchestral Foundation (Simanof)?*Online search (i.e. Google)Friend/Family MemberFlyer at schoolConcert
Other:

Does the applicant play a symphonic instrument?*

If yes, what instrument(s) does the child currently play? Select all that apply ViolinViolaCelloBassFlute/PiccoloClarinetOboeBassoonFrench HornTrumpetTromboneTubaPercussionNone

If yes, how many years has child been playing instrument(s) above? Other:

Do you own an instrument?

Does child receive additional musical instruction? (music programs or private lessons)

If yes, please list the additional program(s) and/or name of teacher:

Can child behave well in large groups?*

Can child focus on instruction for long periods of time?*

Does child have additional behavioral tendencies?* (e.g. kicking, biting,
screaming, etc)

If yes, please describe

Does the child have documented mental or physical disability/condition?*

If yes, please describe: (Indicate whether or not support is needed for child's disability/condition)

List any food allergies/diet restrictions (please indicate if Epi-pen is needed)*
(If 'none' please write 'none')

List other medications taken (if applicable)

Mother / Guardian's First Name*

Mother / Guardian's Last Name*

Email Address* (Guardian's Primary Email Address)

Alternate Email Address (Optional)

Cell Phone*

Home Phone

Work Phone

Father / Guardian's First Name

Father / Guardian's Last Name

Email Address (Guardian's Primary Email Address)

Alternative Email Address (Optional)

Cell Phone

Home Phone

Work Phone

Emergency Contact's Name* (Different from parent / guardian)

Emergency Contact's Phone*

Your email address will be added to our list to receive upcoming news and events on Simanof

Click "SEND" just ONCE. After you click "SEND", wait until the "SUBMISSION SENT"
page loads with a "Thank you" Message.

donation hotline:

305 469 4623

Contact E-mail:

info.simanof@gmail.com

SIMAN ORCHESTRAL FOUNDATION (SIMANOF) is a nonprofit foundation that contributes to the orchestral training of children and youth from two (2) years old, in order to provide an opportunity to grow professionally and personally in today’s globalized world, where it is necessary to rescue the values of respect, friendship and loyalty through music; always offering a high-level in music education.

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Office Location

Training Center:
7600 NW 98th PI, Doral, FL 33178

Contact Number

305 469 4623