Fall Adult Academy Registration "*" indicates required fields Musician Name* First Last Email*This email will be given to all participating musicians within the semester you are registering. Cell Phone*This number will be given to all participating musicians within the semester you are registering. Address*This address will be given to all participating musicians within the semester you are registering. Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Please select all that you identify as. This data is only used for grant and funding purposes.* American Indian/Alaskan Native Arab Asian Black/African American Hispanic/Latino Native Hawaiian/Pacific Islander White Multi-Ethnic Other Physically, mentally, or otherwise impaired Prefer not to say Instrument* Number of years studied*Are you currently studying privately?* Yes No Name of private instructor First Last Instructor Email Musician enrolling grants permission to ACMC to use any photos and/or videos taken during the semester for non-commercial purposes.*Mainly we use photos/videos to share with other musicians participating, patrons, funders, and for grant reporting.I consentI do not consentAre you comfortable and willing to host rehearsals and/or coaching sessions in your home?*Ensembles are typically trios or quartets. Yes No Maybe or Unsure Do you have a piano in your home that is available for rehearsals?*Your ensemble may or may not have a pianist but this will help if a pianist is placed in your ensemble. No Yes, I have an upright or grand piano Yes, but it's a keyboard Do you have any concerns or limitations in regards to hosting rehearsals and/or coaching sessions within your home or going into other homes for rehearsals/coachings? If yes, please explain.*Please list your general availability during the week (Mon-Fri) AND weekend (Sat-Sun) that you are available for rehearsals/coachings.*We understand that schedules change, but getting a general day to day idea of what your availability is helps us to put ensembles together and assign a coach.What repertoire are you currently working on (solos/etudes)? What chamber ensemble repertoire have you already played, if any?*Please tell us a little about your music background if you're new to ACMC's Adult Programs or if you have any questions.How did you hear about the Academy?*Please check all that apply ACMC Website ACMC Email ACMC Postcard Private Lesson Instructor I have participated before Other Chamber Ensemble Fee*Fee is non-refundable after August 20, 2024 for the fall semester. Price: Please add an amount if you would you like to add a tax-deductible donation to support ACMC's education and outreach programs. Total Credit CardCard Details Cardholder Name CAPTCHA
