NYSMF Online Student Application Form
2010 Season

Student's First Name

Middle Name

Last Name

Street Address

Apt #

City

State

Zip

Email address

Confirm E-mail address

Home Phone

Mobile Phone

Fax

Male   

Female


Gender
MONTH January February March April May June July August September October November December
DAY 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
YEAR 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001
Birth Date

Name of Your School
SELECT GRADE (in Fall 2010) 4th 5th 6th 7th 8th 9th 10th 11th 12th College-Freshman College-Sophomore College-Junior College-Senior Graduate School
Grade

School Street Address

School City

State

Zip

Public   

Private   

Parochial   

Home Schooled   


Type of School

Applicant Normally Lives With...

Both Parents   
Father   
Mother   
Other   

• Father (or Guardian)
• Mother (or Guardian)

Father's First Name / Father's Last Name

Mother's First Name / Mother's Last Name

Street

Street

City

City

State

State

Zip

Zip

Home Phone

Home Phone

Work Phone

Work Phone

Mobile Phone

Mobile Phone

Fax

Fax

Email Address

Email Address

--- Choose One --- Violin Viola Cello Bass Flute Clarinet Oboe Bassoon Saxophone Trumpet Horn Trombone Euphonium Tuba Piano Guitar Harp Percussion Drum Set Voice
Primary Instrument

Years Played

Yes   

No


Jazz?

--- Choose One --- Violin Viola Cello Bass Flute Clarinet Oboe Bassoon Saxophone Trumpet Horn Trombone Euphonium Tuba Piano Guitar Harp Percussion Drum Set Voice
Secondary Instrument

Years Played

Yes   

No


Jazz?

--- Choose One --- Violin Viola Cello Double Bass Flute Clarinet Oboe Bassoon Saxophone Trumpet Horn Trombone Euphonium Tuba Piano Guitar Harp Percussion Drum Set Voice
Additional Instrument

Years Played

Yes   

No


Jazz?

In which musical ensembles have you participated?

Choir/Chorus
Madrigal Choir
Orchestra
Chamber Orchestra
Jazz Choir
Jazz Band
Wind Ensemble
Band

Have you participated in any state, local, or other honors ensembles? If so, please list below.

Please list other summer music programs you have attended.

2009
2008

How did you hear about the New York Summer Music Festival?

Internet
Teacher/School
Friend/Family
Poster
Newspaper/Magazine Ad
Please specify

Session I (Jun 27 - Jul 10)


Composition Program


Classical Saxophone Institute

Session II (Jun 11 - Jul 24)


Composition Program

Session III (Jul 25 - Aug 7)


Composition Program


International Flute Institute

---

Application Fee
Non-refundable
 
$

Tuition
2 Week Resident - $1,600
4 Week Resident - $3,000
6 Week Resident - $4,400


 
$

---

Activity Fee
($50 / session)
 
$

Private Lesson Fee

($70 per hour, $35 per 1/2 hour)
$

Instrument
--- Choose One --- Violin Viola Cello Bass Flute Clarinet Oboe Bassoon Saxophone Trumpet Horn Trombone Euphonium Tuba Piano Guitar Harp Percussion Drum Set Voice

Classical


Jazz

Hr. Lessons
0 1 2 3 4 5 6 7 8 9 10
1/2 Hr. Lessons
0 1 2 3 4 5 6 7 8 9 10

--- Choose One --- Violin Viola Cello Bass Flute Clarinet Oboe Bassoon Saxophone Trumpet Horn Trombone Euphonium Tuba Piano Guitar Harp Percussion Drum Set Voice


0 1 2 3 4 5 6 7 8 9 10
0 1 2 3 4 5 6 7 8 9 10

--- Choose One --- Violin Viola Cello Bass Flute Clarinet Oboe Bassoon Saxophone Trumpet Horn Trombone Euphonium Tuba Piano Guitar Harp Percussion Drum Set Voice



0 1 2 3 4 5 6 7 8 9 10
0 1 2 3 4 5 6 7 8 9 10

Festival Bank Deposit
optional: students may withdraw daily
$

Instrument Rental ($50/week)
Instrument
number of weeks 0 1 2 3 4 5 6
$

---

Composition Program Session 1
 
$

Composition Program Session 2
 
$

Composition Program Session 3
 
$

Classical Saxophone Institute
 
$

International Flute Institute
 
$

Total of All Fees
 
$

Please select a payment option.
NOTE: Late Applications received after May 15 must include payment in full.
Pay the total of all fees today.