Arthur Russell Week Application - July 8-12, 2019
We look forward to receiving your application and will be in touch as soon as a decision is made!
A few notes...
Application deadline EXTENDED to May 31, 2019.

Tuition is $250 per student.

Ages are 8-13, however exceptions will be considered.

Daily instruction hours are 9am - 12pm.

A $25.00 application fee is due with this application.

Please mail application fee per instructions on the application confirmation page or on our website at: http://www.ellsworthcommunitymusic.org/arthur-russell-week/

Please call us at: 207-664-9258 or email: arthurrussellfestival@gmail.com with questions.

Student Last Name *
Your answer
Student First Name *
Your answer
Student Middle Initial
Your answer
Student Date of Birth
MM
/
DD
/
YYYY
Grade
Your answer
Email *
If no email, please enter "N/A" and include phone below.
Your answer
Home Phone
Your answer
Mobile Phone
Your answer
Mailing Address 1
Your answer
Mailing Address 2
Your answer
City
Your answer
State
Your answer
Zip
Your answer
What instrument do you play?
Your answer
Have you previously attended a summer music program?
Who is your private teacher?
Please include first and last name
Your answer
Private Teacher Email
Your answer
Private Teacher Phone
Your answer
Years of Study
Your answer
Please list solo pieces you are working on or have recently completed.
Your answer
Are you interested in applying for a scholarship based on demonstrated financial need?
If yes, scholarship application will be sent to you after program acceptance.
Parent/Guardian Last Name
Your answer
Parent/Guardian First Name
Your answer
Relationship to Student
Your answer
Email - P/G
If same as student, enter "same"
Your answer
Home Phone - P/G
If same as student, enter "same"
Your answer
Mobile Phone - P/G
If same as student, enter "same"
Your answer
Mailing Address - P/G
If same as student, enter "same"
Your answer
City - P/G
If same as student, enter "same"
Your answer
State - P/G
If same as student, enter "same"
Your answer
Zip - P/G
If same as student, enter "same"
Your answer
Additional Comments
Your answer
If you would like a printed copy of your completed application, please print BEFORE pressing the submit button.
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