Passion Flute IV - Registration

Registration Information

Name:

Age:

Address:

City:

State:

Zip Code:

Telephone:

E-mail Address:

Current school or University (if applicable):

Grade:

Adult performance level (if applicable):

Teacher's Name (no letter of recommendation required):

Seminar Attendance:
Please check your preference as a performer, participant or auditor; if you select the "Performer" category, you will be scheduled for a minimum of two performance spots. If you select "Participant" you will be schedule for a minimum of one performance spot.

If you selected Daily Auditor,
which days?:

Please list work(s) you wish to perform in the Master Class (please list a minimum of four pieces, in order of preference).
A pianist will be provided! :

Housing/Meals:

Please note: housing and meals are not included in the registration fee

Housing is available at the following rates: Single room per night ($20); Double Room per night ($15.50). Please indicate your housing preference below.

Meals: Breakfast $7.20; Lunch $9; Dinner $9.50; available from UNI. All meals, including lunch 7/17 to lunch 7/21 $96.10. We will contact you to make arrangements once you have registered.

Do you have an special dietary needs? (vegetarian, allergies, etc.):

Housing Requested:

Requested roommate for Double Occupancy:

I would need housing for the following date(s):

Monday, July 16

Tuesday, July 17

Wednesday, July 18

Thursday, July 19

Friday, July 20

Saturday, July 21

Total amount you'll be enclosing and mailing $:

Please note: A non-refundable deposit of $150 is required to hold your space at the workshop, and is due by June 25, 2012. Full payment may be sent in advance, or paid upon your arrival.

Please remember to add the workshop fee, plus your housing needs, and make payment to:
UNI School of Music
Passion Flute IV: Foundations for Creative Performing
115 Russell Hall
Cedar Falls, IA 50614-0246
DUE: June 25, 2012.
Please remember to include your name and contact information with your payment.

Make checks payable to: UNI School of Music (write "Passion Flute" in the memo line).

Back to the Passion Flute IV Information Page
Back to the School of Music Homepage
Back to the UNI Summer Camps Page