"*" 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 Are you registering with a pre-formed ensemble?YesNoIf you answered yes to registering with a pre-formed ensemble, please list the members' names and instruments.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? (this only applies to ensembles with piano)*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 with regards to hosting rehearsals and/or coaching sessions within your home or at others' homes? If yes, please explain.*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 Word-of-Mouth Other Cycle FeeChamber Ensemble Fee*Fee is non-refundable for each cycle after one week following each registration deadline. Cycle 2 (October 27–December 6) Cycle 3 (January 5–February 7) Cycle (March 23–May 2) 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 Card*Card Details Cardholder Name Product Name Quantity Price: $0.00 Quantity hCaptcha
