WholeHearted Musician™ Residency at Avaloch Farm 2018
This form is for quartets who wish to apply to work with Dana Fonteneau at the Avaloch Farm Music Institute.
Email address *
WHM@Avaloch Farm Residency
Ensemble Name *
Your answer
Musicians and Instrument *
Your answer
Founding Date *
MM
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DD
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YYYY
Has you your quartet had any personnel changes since it's inception-if so, when and why? *
Your answer
Where is your quartet based? *
Your answer
Contact Person's Name *
Your answer
Contact Person's Phone *
Your answer
Contact Email *
Your answer
Contact Mailing Address *
Your answer
Is any member of the group currently dealing with challenging emotional life experiences that may make this work difficult? Please answer in detail for each member. *Answers are kept in confidentiality. *
Your answer
Does any member have any current health challenges or injuries? Please answer for each member. *Answers are kept in confidentiality.
Your answer
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