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Choral Academy Application
Application not considered complete until tuition deposit of $150 (or $25 if accompanied by 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 2018) *
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 provide carpooling to/from camp for nearby campers for a $25 discount? *
Would you require a ride to get to/from camp? *
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 Assistance
Please let us know if you need financial assistance. Applications can be found on the Virginia Consort Website and should be mailed to choralacademy@gmail.com
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