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Eastman School of Music

Summer @ Eastman

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Non-Res Form Test

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  • STUDENT INFORMATION

  • RACE/ETHNICITY

    Colleges and universities are asked by many groups, including the federal government, accrediting associations, college guides, and newspapers, to describe the ethnic/racial backgrounds of their students and employees. In order to respond to these requests, we ask you to answer the following two questions.

  • Please include area code.
  • Emergency Contact:
  • Parent/Guardian #1:

    (Student may enter one or both but at least one is required)

  • Parent/Guardian #2:
  • REGISTRATION INFORMATION for Summer@Eastman Programs

    Note: you must be 18+ to apply for "Adult Chamber Music Workshop". Mandolin Workshops are open to grade 6-adult.
  • Must be 18+ to apply. Both programs are free for Music Educators.
  • $0.00
    No payment is due at this time. Information about billing/payment will be sent separately once your registration has been processed.
  • Discounts

    - 10% discount for ECMS students enrolled both semesters of 2022-23 school year;

    - 25% discount for dependents of qualifying University of Rochester employees upon completion and acceptance of tuition waiver application.

    If the student is a dependent of a qualifying University of Rochester employee, the employee must first apply for the tuition waiver through their HRMS page before the discount can be applied to the student’s account.

  • PHOTOGRAPHY, SOUND AND VIDEO RECORDING RELEASE

  • I hereby consent to be photographed and recorded (sound and video) for the Eastman School of Music. The resulting photographs, sound and video recordings may be subsequently used without compensation to me by the Eastman School of Music, the University of Rochester, or third parties for publications (including web sites), advertising, and/or publicity purposes at the discretion of the School’s Communications Office. I waive the right to inspect or approve the finished photograph and/or recording and/or publication use. *Note: Summer@Eastman concerts may be livestreamed and/or video recorded.
  • HOW DID YOU HEAR ABOUT THIS PROGRAM?

  • Medical Information

  • If the student will be requesting reasonable accommodations on the basis of a disability (for accessibility or classroom needs) please visit:

    https://summer.esm.rochester.edu/accessibility-and-acommodations/
  • Or is there anything else medically we should know about the student or their care plan? Please describe below.
  • All medications must come in separate original labeled containers. Medications must not expire before the end of the session. Prescription medications must be written in the name of the student. All medication (prescription or non-prescription) must be accompanied by a patient-specific written order from a licensed prescriber. Pharmacy labeling on the medication is not sufficient for this purpose as the medication, dosage, and or regimen may have been changed since the pharmacy filled the prescription. This is a NY State requirement.
  • NOTE: Additional medical documentation might be required depending on New York State requirements.
  • SIGNATURES

  • ECMS Payment Agreement: I understand that the University must receive the full amount (as described in the ECMS catalog and website) due less any financial aid on or before the due date as noted on the bill, and that if the full payment is not received by the due date, the University will assess a monthly late payment fee of 1% of the amount past due. I understand that I am responsible for any late payment fee resulting from delays in the delivery of my bill. Payment must be in U.S. dollars. I further certify that should my account not be kept current, I understand the University may curtail my ability to register for future semesters. I acknowledge the University’s right to assess collection and legal fees should my account remain unpaid at the time I leave the University. I understand that I am obligated to pay those fees. I further agree to accept the ECMS refund policies as found on the ECMS website.
  • By checking this box, I acknowledge that the information above is correct to the best of my abilities. I have read, understood, and agree to the ECMS Payment Agreement.
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  • By checking this box, I acknowledge that the information above is correct to the best of my abilities. I have read, understood, and agree to the ECMS Payment Agreement.
  • MM slash DD slash YYYY
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S@E Quick Links

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CONTACT US

Summer@Eastman Office
Eastman School of Music
26 Gibbs Street, Box 36
Rochester, NY 14604

585-274-1074
Email Us

Office Hours

Office Hours:

Monday-Friday: 9:00 AM - 3:00 PM

Saturday: Closed

Sunday: Closed

Saturday & Sunday: Closed

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