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Summer Chamber Music Workshop
Application 2008
* indicates required field
Applicant's Information
*
First Name
*
Last Name
*
Instrument 1
Instrument 2
*
Date of Birth
*
Age
*
Gender
*
New
Participant
Yes
No
Which session(s) are you available for?
June 20-29
July 4-13
July 18-27
August 1-10
August 15-24
*
How many sessions would you like to attend?
Present Address
*
Street 1
Street 2
*
City
*
State/Province
*
Zip
*
Country
*
Phone
Fax
*
Email
Permanent Address
Check here if same as Present Address
*
Street 1
Street 2
*
City
*
State/Province
*
Zip
*
Country
*
Permanent Phone
Fax
*
Email
Which address should we use to contact you?
Present
Permanent
School you now attend
Name
Street 1
Street 2
City
State/Province
Zip
Country
Phone
Fax
Email
Music School (if different)
Name
Street 1
Street 2
City
State/Province
Zip
Country
Phone
Fax
Email
Instrumental Teacher
First Name
Last Name
Street 1
Street 2
City
State/Province
Zip
Country
Phone
Fax
Email
Chamber Music Coach
First Name
Last Name
Street 1
Street 2
City
State/Province
Zip
Country
Phone
Fax
Email
Orchestra Conductor
First Name
Last Name
Street 1
Street 2
City
State/Province
Zip
Country
Phone
Fax
Email
*
Individual or Group
I am applying as an individual player
I am applying as a member of a pre-formed group. If applying as a member of a pre-formed group, give names and instruments of other group members. Each member of a pre-formed group must apply separately.
Names and Instruments of other group members
*
How many years have you studied your instrument?
Explain
*
How many hours per week have you played your instrument over the past year?
Explain
*
What solo, chamber, and orchestra literature have you worked on and performed over the past six months?
New Participants (optional for returning participants): What is your previous chamber music experience? What chamber music have you played and performed? What chamber music coaching have you received? What music awards have you received?
*
Why do you want to come to Apple Hill? What are your musicmaking goals?
Do you require special assistance in rhythm, pitch, or sight-reading in order to function in a chamber group?
Yes
No
If Yes, explain
Music Requests
*
How did you first hear about Apple Hill?
What is your favorite food?
What is your favorite leisure activity?
If you could have lunch with any three people in the world, whom would you choose?
Please list addresses of persons to whom you would like us to send a copy of our brochure.
Non-refundable application fee ($75):
I will mail a check.
Please bill my Visa, MasterCard or American Express
Your non-refundable $500 deposit (for each session) is due upon acceptance to the summer program. Balance of tuition is due May 1st.
Credit Card Information
I will pay by:
Select One
MasterCard
Visa
American Express
Credit Card Number
Name on Credit Card
Expiration Date
Month
01
02
03
04
05
06
07
08
09
10
11
12
Year
2008
2009
2010
2011
2012
2013
2014
2015
Security Code
What's This?
Cardholder Address
Cardholder Address 2
Cardholder City
Cardholder State/Province
Cardholder Zip Code
Cardholder Country
*
I will send my placement tape by (date):