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Choral Academy Application
Application not considered complete until tuition deposit of $150 or scholarship application is received.
(Mail to: The Virginia Consort, attn: Nick Matherne, 142 Birdwood Ct., Charlottesville, Virginia 22903)
First Name
Your answer
Last Name
Your answer
Male/Female
Voice Part
Age
Your answer
Grade Entering (Fall 2017)
School
Your answer
E-mail address
Your answer
Phone Number
Your answer
Mailing Address
Your answer
City
Your answer
State
Your answer
Zip Code
Your answer
Previous Musical Experience
Your answer
Current Music Teacher(s)
Your answer
Other Music Program Participation?
Required
Parent First Name
Your answer
Parent Last Name
Your answer
Parent E-mail
Your answer
Parent Phone Number
Your answer
Parent Address (If different from above)
Your answer
Would you be willing to host 1 or 2 students from out of town during the week of camp?
Will you need housing for the week?
How did you hear about the Choral Academy?
Required
_______________________________________________________
By signing below, I certify that the above information is correct. I agree to allow the Virginia Consort to use my child’s photo (without name) for purposes of promoting our concerts or programs.
Electronic Student Signature
Your answer
Electronic Parent Signature
Your answer
Tuition
Applications received with tuition payments before November 30, 2016 will receive a $100 discount, for a total of $275 tuition for the week-long camp.
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