Welcome to the
Windswept Music Workshop
Registration Form

Please Enter the information below and press the submit button
NAME
Salutation: Mr. - - Mrs. - - Ms. - - Dr.
First :
Middle :
Last:

Preferred Name for Nametag:

Address and Contact Info
Mailing Address - Street Address:
City / Town : State / Province : Zip

Phone:
Other Phone:
E-mail 1:
E-mail 2:

(Adults- you may enter your school/business name here):

T-Shirt size* small    med    Lg    XL    XXL    XXXL
*T shirts may not be available for those registering after June 15. 2008.

I wish to request vegetarian meals.

Rooming requests:
Fees include 6 nights in a double-occupancy college dorm-style room.
A limited number of private rooms are available.
If you request a private room and we are able to grant your request, an additional fee of $75 will be assessed.
I request as a roommate.

- - I plan to request a private room.

Please share food allergy information or special requests so we can do our best to meet your needs
Students (age 12 through high school) Please give this additional information:

Gender : Male    Female
Age: Teacher/Sponsor Name

Help our Faculty Know More about you.

Select the Applied Creative Motion class you will attend on M, T, Th. Fri.

Piano Voice Instrumental Independent Studies

Independent study students: Please specify the area of application:
movement/dance - - music education - - conducting - - visual arts
creative writing - - other:

Please tell us about your interest and experience. (mark all that apply)

I play -piano, -other instruments (specify)
I usually play -solo, -ensemble

I sing -solos, -in choral groups, -often, -seldom - -
In choirs I sing -soprano, -alto, -tenor, -bass
How many years have you been singing? years
I study -privately, -at school, -in college, -on my own

TEACHERS please tell us about you (mark all that apply)
I teach -privately -group lessons
I work with -early childhood, -elementary, -ms//Jr.Hi, -High school, -college, -adults

Coaching Opportunities
There are a limited number of opportunities to be coached in a master class, conducting or public lesson format.
I'd like to be coached in (mark all that apply)
-Applied Classes, -Master Class, -Conducting Lab
Musical selection for coaching:
Composer:
Title:
Note to Master Class performers: To respect time parameters, prepare a 2-minute excerpt for master class.

I am interested in graduate credit CEU's (continuing education credit)

Date of Arrival at Workshop Date of Departure
ARRIVAL: Airline information: date, time, carrier, flight # (if known):
DEPARTURE: Airline information: date, time, carrier, flight # (if known):

Notes to the director:
-I have applied for financial aid.
-I am a scholarship award recipient.
-Others in my family are also registering, so we may be eligible for additional discounts.
I plan to request a private lesson. ($25)
I would like an accompanist to attend my private lesson ($10)
I plan to purchase a Celebration/Memory DVD. ($15)
I Plan to purchase a copy of the annual full-group picture ($4)
I Plan to eat on-campus On Wednesday evening.
I Plan to Eat OFF-Campus on Wednesday Evening.

Private Lesson Instructor request (if known)

For First Time attendees: If you were referred to this workshop
by a member of the Creative Motion Alliance, Help us reward your friend!
My friend: told me about this workshop!

Please add any additional information you wish to share your comments below.

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