Students are eligible to participate in the Fair Honors Ensembles if they attend a Medina County school district currently under contract for Fine Arts Services with the ESC of Medina County. For the 2021-2022 school year, that includes: Black River, Brunswick, Buckeye, Cloverleaf, Highland, Medina, and St. Francis Xavier School. Students are recommended for membership in the Fair Bands, Choirs, and Orchestra by their school music director on the basis of their playing and singing ability.
Rehearsals are held daily for two weeks preceding the Medina County Fair, and then a public performance is given at the Fair. More than 200 students participated in 2019, including a 17-member orchestra.