Attach additional sheet if necessary. This form may be photocopied.
Name ___________________________________________________________________
Sex ( ) M ( ) F
Address__________________________________________________________________
City ________________________________________ State __________ Zip __________
Phone ___________________________ E-Mail _________________________________
Date of Birth_______________________ Your age as of 7/27/2008 __________
Patent/Guardian Name______________________________________________________
Work Phone ( ) ____________________________
2nd Patent/Guardian Name___________________________________________________
Work Phone ( ) ____________________________
Grade entering next Fall_____________ Years studied privately _______________
Name of private teacher _____________________________________
Address & phone of private teacher ____________________________________________
List at least 3 etudes or solo pieces that you have worked on in the last year. Include composer and title.
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
Do you currently play in an ensemble? (Band, flute choir, orchestra,
etc.)
( ) Yes ( ) No
If yes, describe ____________________________________________________________
If no, have you ever played in an ensemble?
( ) Yes ( ) No
If yes, describe ____________________________________________________________
Please list any concerts, festivals, recitals, etc, in which you have performed in the last year:
Performance(s) with Date(s)___________________________________________________
_______________________________________________________________________
_______________________________________________________________________
Have you ever performed in or audited a flute master class?
( ) Yes ( ) No
If yes, which one? _____________________________________________________________________
Teacher______________________________ Date _________________
Have you ever attended a camp?
( ) Yes ( ) No
How many hours do you practice each week? ____________________
Why do you want to attend NCFC? (attach sheet if necessary)
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
Student Signature ___________________ Parent Signature ______________________
NON-REFUNDABLE deposit of $300*
due with application and audition tape by May 1, 2009
*Students not admitted will be refunded the deposit.
Make checks payable to Northern California Flute Camp, and mail
to:
Northern California Flute Camp, P.O. Box 53724, San Jose, CA 95153
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NON-DISCRIMINATORY STATEMENT Hidden Valley Music Seminars admits students and employs personnel of any race, color, religion, sex, national origin, age, handicap, or political affiliation. It does not discriminate on the basis of race, color, religion, sex, national origin, age, handicap, or political affiliation in administration of its educational policies, admission policies, scholarship programs, or other school administered programs. |