Application for Summer 2023
Junior Session
* Required Fields
ABOUT THE APPLICANT
* First Name: 
* Last Name: 
* Birthdate (mm/dd/yyyy) 
* Grade you will completed THIS school year: 
* What School do you attend? 
  City, State: 
* Major Instrument: 
  How long have you studied? 


MUSICAL BACKGROUND
  Do you study music in school? (ensembles, classes, clubs, etc.) 
   
  Do you study music outside of school? (youth orchestra, prep programs) 
   
  What else should we know about your musical experiences? 
   
  Do you play a second instrument? 
  If so, for how long? 


PRIVATE STUDY
  Private Teacher's Name: 
  How to reach by E-mail: 
  How to reach by Phone: 
  What study materials have you recently completed? 
   
  What are you preparing for your Kinhaven audition? 
   


STUDENT CONTACT INFORMATION
* Student's Home Address: 
* City: 
* State: 
* Zip Code: 
  Country: 


PARENT/GUARDIAN CONTACT INFORMATION
  PARENT/GUARDIAN (I): 
* Relationship to Student: 
* Name: 
* Preferred E-Mail: 
* Preferred Phone: 
   
  PARENT/GUARDIAN (II) if applicable: 
  Relationship to Student: 
  Name: 
  Preferred Email: 
  Preferred Phone: 


EMAIL CONFIRMATION
* Enter a PARENT/GUARDIAN e-mail address, to receive these confirmation details: 


LOOKING TOWARDS THE SUMMER...
  ABOUT KINHAVEN... 
  How did you hear about our program? 
   
  Have you ever attended a summer music program? 
   
  What do you find most appealing about Kinhaven? 
   
  List 3 favorite foods (No Snacks): 
  #1 
  #2 
  #3 
  Session: 
  Form: 


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