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CENTRAL INDIANA ASTACAP MARCH 16, 2024 STUDENT REGISTRATION - DEADLINE JANUARY 17, 2024
This form is for students to be registered for ASTACAP Spring 2024
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Email
*
Your email
STUDENT NAME
Your answer
instrument
VIOLIN
VIOLA
CELLO
BASS
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PARENT NAME
Your answer
WHICH LEVEL EXAM WILL YOU BE TAKING?
FOUNDATION (FEE $27)
LEVEL 1 (FEE $27)
LEVEL 2 (FEE $27)
LEVEL 3 (FEE $27)
LEVEL 4 (FEE $27)
LEVEL 5 (FEE $27)
LEVEL 6 (FEE $27)
LEVEL 7 (FEE $32)
LEVEL 8 (FEE $32)
LEVEL 9 (FEE $32)
LEVEL 10 (FEE $32)
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PLEASE INDICATE IF EITHER OF THESE APPLY:
HONORS (A SOLO IS HIGHER THAN THE LEVEL APPLIED FOR OR THERE IS A SUBSTANTIAL CADENZA)
COMMENTS ONLY - (STUDENT PREFERS NOT TO BE GRADED OR PRESENTS ONLY A PORTION OF THE REQUIREMENTS
REPEATING A LEVEL (e.g. 2A)
PLEASE LIST ALL THE SCALES & ARPEGGIOS YOU WILL PLAY FROM MEMORY
Your answer
PLEASE LIST THE ETUDE(S) YOU WILL PLAY INCLUDING COMPOSER, TITLE OF BOOK, ETUDE # AND/OR PAGE NUMBER
Your answer
PLEASE LIST YOUR SOLO(S) INCLUDING COMPOSER, TITLE, AND WHICH MOVEMENTS ARE PLAYED FROM MEMORY
Your answer
PRIVATE TEACHER'S NAME
Your answer
PRIVATE TEACHER'S ASTA MEMBER #
Your answer
PRIVATE TEACHER EMAIL ADDRESS
Your answer
PRIVATE TEACHER POSTAL ADDRESS
Your answer
PRIVATE TEACHER PHONE CONTACT(S), PLEASE INDICATE MOBILE, HOME, OR OTHER
Your answer
ACCOMPANIST NAME
Your answer
ACCOMPANIST EMAIL ADDRESS
Your answer
ACCOMPANIST PHONE CONTACT
Your answer
STUDENT'S STREET ADDRESS
Your answer
STUDENT'S CITY ADDRESS
Your answer
STUDENT'S ZIP CODE
Your answer
STUDENT'S AGE ON MARCH 16, 2024
Your answer
STUDENT'S CURRENT GRADE IN SCHOOL
Your answer
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