Workshop application form

Music Mountain: Application

**Please complete all fields

Date:

(mm/dd/yyyy)

Instrument:

Name:

Mailing Address:

(Street, City, State, Zip)

Day Phone:

Evening Phone:

Email:

I was referred to the program by:

Personal Rating:

Rating Source:

*please refer to the Amateur Chamber Music Players website if necessary

I am part of a pre-formed ensemble

Please list names and instruments of other ensemble members:

List chamber music repertoire studied:

Dietary Restrictions? (allergies, vegetarian etc..)

Lodging Preference:

Double room

preferred roommate?

Single room

Off campus housing

Please indicate your payment option:

Check

Please make checks payable to "Cassatt Quartet"
and send to:

Cassatt Quartet
275 W. 96th St. #35D
New York, NY 10025

PayPal

Use address: cassatt@cassattquartet.com

Registration Fee: $50 (non-refundable)

Workshop Fee: $315 due by June 15

Deposit: $150 due by June 1

Early Registration: Pay in full by June 1 and save $50!