Chamber Music Seminar Application

Chamber Music Seminar & Academy 2021

Monday, July 26th - Friday, July 30th

Fill out and submit an application below.

Click here to make a payment.

Click here for more information about the program.

Chamber Music Seminar Application

Register online by filling out the application form below. Please submit a separate form for each student that you are registering.

* Indicates required field

Student Name *

First

Last

Date of Birth *

Age *

Grade (2020-2021) *

Gender *

Instrument *

Student Email *

School That You Attend *

School District *

Ensembles in which you currently play, if applicable *

Parent Name *

First

Last

Primary Phone Number *

Secondary Phone Number *

Parent Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Private Teacher Name *

Private Teacher Email *

Private Teacher Phone Number *

Years of Study with Private Teacher *

School Music Teacher Name *

School Teacher Email *

School Teacher Phone Number *

I, the undersigned, as Parent/Guardian of the above named minor do hereby release the PYCO School of Music, its employees, and instructors, from any and all liability from any accidents which may occur. I also authorize the use of any photograph or video taken during the camp for publicity purposes. *

Please write any comments or questions below. *

Submit