2019 Chamber Music Workshop Registration Form
Registrant Information
First Name *
Your answer
Last Name *
Your answer
E-mail Address *
Your answer
Phone Number (cell) *
Your answer
Phone Number (home)
Your answer
Mailing Address *
Your answer
Gender *
Your answer
Date Of Birth *
MM
/
DD
/
YYYY
Any Other Family Members Also Registering for the Workshop?
Your answer
For Registrants Under 18
Parent/Guardian First Name
Your answer
Parent/Guardian Last Name
Your answer
Parent/Guardian Phone Number (cell)
Your answer
Parent/Guardian Phone Number (other)
Your answer
Parent E-mail Address
Your answer
Grade in School as of Fall 2018
Your answer
School Name
Your answer
Musical Background
Instrument *
Private Teacher Name *
Your answer
Private Teacher E-mail
Your answer
Years of Playing *
Your answer
Current Repertoire *
Your answer
Which of the Following Key Signatures Are You Comfortable Reading? *
Which of the Following Time Signatures Are You Comfortable Reading? *
Required
Have You Ever Played in a Chamber Music Group Before? (If So, What Kind? e.g. String Quartet, Trio...etc) *
Your answer
Workshop & Registration Fee
By December 1, 2018 - Early Bird
Workshop fee: $100
Registration fee: $15

By January 1, 2019
Workshop fee: $100
Registration fee: $30

For current STEP students - by registering online, you've agreed to charge your Chamber Music Workshop fee to your STEP account

For non-STEP students - please mail a voided check to STEP Birmingham, 1101 18th St S, Birmingham, AL 35205 so we may do a one-time bank draft for the above fee

*
STEP Birmingham Waiver
Please read the STEP Birmingham Chamber Music Workshop Waiver. By entering your name below, you've acknowledged that you understand and accept the waiver.
Signature *
Your answer
Registration Video
All registrants must submit a video of a recent performance (home video taken with phone is OK) that best reflects the applicant's current level. Note that your registration is not complete without the video submission.

Please upload your video to a cloud service of your choice (e.g. Dropbox, YouTube, iCloud...etc), and provide your video link below. If you have questions about how to upload a video, please contact Laura Usiskin at lusiskin@gmail.com

Video Submission (link) *
Your answer
Comments, Questions, Concerns, Special Requests?
Your answer
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