- Close Encounters With Music

Name

First

Last

Email

Date of Birth and Current Age

Full Address (as it should appear on mailing label), with City, State/Province, Zip Code, Country

Phone

Cell phone (that works within USA, country code, city/area code)

Name of School you currently attend (if applicable) and Name of Current Teacher

Instrument and number of years you have studied the instrument for which you are applying

List Summer music programs you have attended since 2018

FOREIGN APPLICANTS: Country of Birth and Country of Citizenship

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