Senior Session Application

Application for Summer 2023
Senior Session

* Required Fields

ABOUT THE APPLICANT
* First Name:	*Required
* Last Name:	*Required
* Grade you will complete THIS school year:	*Required
* Instrument (Primary):	*Required
* Years of Study:	*Required

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:
Is your private teacher familiar with Kinhaven?
What repertoire/etudes are you working on presently?

STUDENT CONTACT INFORMATION
* Student's Home Address:	*Required
* City:	*Required
* State:	*Required
* Zip Code:	*Required
Country:
* How may we reach you by Email?	*Required
* How may we reach you by Phone?	*Required

PARENT/GUARDIAN CONTACT INFORMATION
PARENT/GUARDIAN (I):
* Relationship to Student:	*Required
* Name:	*Required
* Preferred Email:	*Required
* Preferred Phone:	*Required

PARENT/GUARDIAN (II) if applicable:
Relationship to Student:
Name:
Preferred Email:
Preferred Phone:

LOOKING TOWARDS THE SUMMER...
Have you ever attended a summer music program?
How did you hear about our program?
What is it you find most appealing about Kinhaven?

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