Spring Adult Academy Registration Form

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 ZIP Code

Please select all that you identify as. This data is only used for grant and funding purposes.*

Instrument*

Number of years studied*

Are you currently studying privately?*

Yes

Name of private instructor

First Last

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.

COVID-19 Vaccination Required*

Due to the nature of the program, going into homes for rehearsals, vaccinations will be REQUIRED of all participants for the safety of the other musicians and their families.

I am fully vaccinated

Are you comfortable and willing to host rehearsals and/or coaching sessions in your home?*

Ensembles are typically trios or quartets.

Yes

Maybe or Unsure

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?*

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.

Yes, I have an upright or grand piano

Yes, but it's a keyboard

If Yes, provide more details about your piano/keyboard and if there are any concerns.

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 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?ed*

Please tell us a little about your music background if you're new to ACMC's Adult Programs or if you have any questions.

Chamber Ensemble Fee *

Fee is non-refundable after January 9, 2024 for the spring semester.

Price: $225.00

Would you like to add a tax-deductible donation to support ACMC's education and outreach programs?

Total

Credit Card

Card Details

Cardholder Name

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

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