Chamber Music Program Application | CLU Music Department

Chamber Music Program

Participant's Name *
Date of Birth *	(mm-dd-yy)
Gender *	Female Male
Instrument played *
Desired ensemble *	String Clarinet Brass
Participant's School *
Name of Band or Orchestra Director *
Year in High School *	Freshman Sophomore Junior Senior
Home Phone *
Student Cell
Parent / Guardian Cell
E-mail *
Parent / Guardian Name *
Parent / Guardian Address *
List participant food allergies or dietary restrictions
How did you hear about us?
Music Training Instruction and Background *