Peabody Bass Works 4 Day Program 2016 Application
Baltimore, Maryland
July 24-31, 2016
General Information
Student First Name *
Your answer
Student Last Name *
Your answer
Gender *
Date of Birth *
(MM/DD/YYYY)
Your answer
Parent or Guardian Name
(If under 18)
Your answer
Address *
Your answer
Primary Phone Number *
Your answer
Cell Phone Number
Your answer
Parent Email Address *
Your answer
Student Email Address
Your answer
T-Shirt Size
How Did You Learn About Peabody Bass Works? *
If Other:
Your answer
Educational Background
Name of the School You Attend *
Your answer
What Grade/Year Will You Be Entering in the Fall of 2016? *
Your answer
How Many Years Have You Been Playing the Double Bass? *
Your answer
How Long Have You Been Taking Private Lessons?
(If Applicable)
Your answer
Name of Primary Instructor:
Your answer
Primary Instructor's Phone Number:
Your answer
Primary Instructor's Email Address:
Your answer
Years of Study with Primary Instructor:
Your answer
What are you currently working on with your teacher? *
Please list your most recent and most challenging repertoire. This information helps us place each student in the most appropriate chamber group and studio.
Your answer
Previously Attended Summer Programs:
Please include name, duration, location and years attended.
Your answer
Please List Any Orchestras or Ensembles You Perform in Outside of School.
This could be a youth, community, honors, all state ensemble etc.
Your answer
Video/Audio Submission
Please include a brief video or audio recording as part of your application. It is a crucial part of what helps us select the best curriculum for you at camp.

This recording should showcases the complete depth of your technique. For example, this could be a portion of what you are currently working on in your lessons, a piece you recently performed or an orchestral excerpt you used for an audition. Be sure your choice shows your range and capabilities as a player.
If you do NOT take lessons, you may choose to play a section of a piece you are playing in your orchestra.

*Please Note* This submission is a required part of the application. While the content is not a factor in acceptance, if we do not receive your file by the application deadline, May 1st, you will forfeit your spot.

How will you be submitting your file? *
YouTube or SoundCloud url
Your answer
Upload your file here
Your answer
Program Selection
I am interested in attending Peabody Bass Works as: *
After Submission...
You will receive information regarding payment of your tuition balance in an upcoming e-mail.
If you do not receive an email or phone call within a week of submitting your application, please send an email to peabodybassworks@gmail.com.
If you have any question, please feel free to contact us at peabodybassworks@gmail.com.
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