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Last Name |
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| Address 1 |
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| Address 2 |
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| City |
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State/Prov |
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| Postal Code |
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Telephone |
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| Country |
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| Email Address |
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| Educational background |
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| Current teacher |
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| Performing or teaching background |
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| If you are interested in playing in a master class, please indicate here with two choices of prepared repertoire (there is limited space and unfortunately not everyone can be accommodated): |
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| How did you learn about the Summer Symposium? |
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| Please select |
Student
Performing Artist
Teacher
Other instrumentalist
(Instrument )
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| Age |
Under 18
18-40
Over 40 |
| Breakfast? |
$70 |
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| Tuition |
Commuter $1,095
Commuter Deposit $500 |
Resident $1,495
Resident Deposit $500 |
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By registering for the Symposium, I acknowledge that I grant permission to the Golandsky Institute to use any photograph or video containing my likeness. Such images may be used for promotional, news, research or educational purposes.
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