Summer Chamber Music 2016 Registration

Summer Chamber Music Club
Registration Form

Student Information

* Indicates required field

Student Name *

First

Last

Age *

School *

Grade *

Which instrument do you play? *

How long have you been playing? *

What song/piece are you currently working on? *

Which method book are you currently using (if any)? i.e. Suzuki, Essential Elements etc. *

Who is your private teacher? *

How long have you been taking private lessons? *

How many days per week do you practice? *

How many minutes do you practice in a day? *

How long have you been in school orchestra/band? *

Can you read music? Choose the option that best describes your ability. *

Just started, but not fluent yet Can recognize all the notes on the staff and know where they are on my instrument and can recognize basic rhythms and what they sound like Can comfortably read a Suzuki book 1 level song and/or some my orchestra music Have been reading music for a few years and am completely fluent most keys, rhythms and positions 1 - 3

Have you learned shifting and/or playing in 2nd/3rd position? *

Do you play another musical instrument? If so, please tell us which instrument(s) and how long you've been playing that instrument. *

Any requests for music you'd like to learn? Your requests will be considered but not guaranteed. *

Anything else we should know about your or that you'd like to share? *

Parent/Guardian Information

Parent/Guardian Name *

First

Last

Phone Number *

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Does your child have any allergies or dietary restrictions? *

What is your general availability for scheduling coachings? We ask you to be as flexible as possible, because you’ll need to coordinate schedules with the other ensemble members as well as your coach. Please indicate daytime and evening availability, which days, weekends or weekdays, etc. *

Do you have any conflicts with any of the dates? *

Payment preference *

Any other questions or comments? *

Submit

Summer Chamber Music Club​Registration Form

Summer Chamber Music Club
Registration Form