Summer Registration Form - Eastman Summer

Updated 2025 Registration form

"*" indicates required fields

This form is best filled out on a desktop/laptop.

To save this form and return at a later time, scroll to the bottom of the page and click “Save and Continue Later.”

STUDENT INFORMATION

Student Name*

First Last

Preferred Name/Nickname (if applicable)

Home Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Student's Date of Birth:*

Gender*

Female

Male

Gender identity (optional)

Preferred Pronoun

She/her

He/him

They/them

Preferred Pronoun (optional)

Gender Information (Optional)

Federal guidelines mandate that we collect data on the legal sex of all applicants. If you would like the opportunity, you may also share more about your gender identity here:

Pronoun Preference (Optional)

If your preferred pronouns are not listed above, you may share them here:

Emergency Contact

Name*

Phone (include area code)*

Relationship*

Student email address:*

Email address for program notifications and billing:

Enter Email Confirm Email

Student contact phone:*

Please include area code.

Is the student a U.S. citizen?*

Yes

State of legal residence

Country of citizenship

Type of visa/expiration date

Is the student a permanent resident of the United States?

Yes

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.

Are you Hispanic or Latino?*

Yes

Regardless of your answer to the prior question, please check one or more of the following groups in which you consider yourself to be a member:*

American Indian or Alaska Native

Asian

Black or African American

Native Hawaiian or Other Pacific Islander

White

As of June 24, 2025, will the student be age 18 or over?*

Yes

Grade in School in 2023-24:

Name of School and District:

Current NYSSMA Level [if applicable]:

Years of studying instrument:

Name of Private Music Teacher:

Email of Private Music Teacher:

Name of School Music Teacher:

Email of School Music Teacher:

Have you attended the University of Rochester, the Eastman School of Music, Eastman Summer, or the Eastman Community Music School before?*

Yes

If you know your UR Student ID number, enter it here:

Last date of attendance:

Name when enrolled

First Last

Instrument/Voice Range/Specialty*

REGISTRATION INFORMATION

Choose Program(s):*

Alexander Technique + Mobile Body Alignment for Musicians and Music Educators – ONLINE Tuition

The Artistic Flutist: Bonita Boyd International Flute Masterclass Tuition

Choral Masterworks: The Brahms Requiem and the Romantic Century (Conductors)

Choral Masterworks: The Brahms Requiem and the Romantic Century (Auditors)

Eastman Summer Horn Institute Tuition

Eastman Summer Saxophone Institute Tuition

Eastman Summer Trombone Institute Tuition

Eastman Summer Trumpet Institute Tuition

Eastman Summer Tuba & Euphonium Institute Tuition

Instrumental Methods and Techniques Tuition

Music Preservation Institute Tuition

Music Preservation Workshop – ONLINE Tuition

Music Theory APSI at Eastman School of Music – ONLINE Tuition

Probabilistic Models of Music CognitionTuition

Summer Organ Academy Tuition

Vocal Pedagogy for Choral Conductors & Voice Teachers – ONLINE Tuition

Total

Music Résumé: File Upload

Music Résumé: All students not currently enrolled in an Eastman degree program must include a music résumé with this application. Please upload your music résumé here. You may also use this uploader to send other application documents, such as recommendation letters (if requested). Some institutes require that students contact the instructor and submit a résumé prior to registering. If this is the case, please contact the instructor first before proceeding.

For students auditing workshops or registering for non-performance courses, please upload a letter telling us about yourself and your experience with music.

Drop files here or

Max. file size: 128 MB.

HOUSING/MEALS

Participants aged 14 and older may request on-campus housing and meals at the Eastman Student Living Center for an additional fee. The housing cost includes three meals per day in the Eastman Dining Center. Students must be 14 by the first day of their program to stay in the Student Living Center; students under age 14 may not stay on campus and will need to make alternate housing arrangements. Please tell us about your housing plans:

Please tell us about your housing plans:*

I will stay in the Eastman Student Living Center

I live in the Rochester area and will commute from home

I will stay off-campus (with a parent or guardian if under age 18)

Online course only; no housing needed

CURRENT STUDENT/ALUMNI DISCOUNT

Are you a current ESM student or an Eastman alumnus/alumna?

Yes

Are you a current University of Rochester music major or a graduate of the University of Rochester’s Music degree program?

Yes

Current students and alumni are eligible for a $100 discount off any noncredit institute (except for 2- or 3-day institutes) for which they themselves register. This discount is not applicable to family members.

PHOTOGRAPHY, SOUND AND VIDEO RECORDING RELEASE

Release Consent*

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 used without compensation to me by the Eastman School of Music, the University of Rochester, or third parties for publications (including websites), 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: Eastman Summer concerts may be live-streamed and/or video-recorded. Photos may be taken of summer participants. If you’d rather not have your photo used for marketing purposes, contact our office at: summer@esm.rochester.edu

I agree.

HOW DID YOU HEAR ABOUT THIS PROGRAM?

Eastman Summer website

Eastman Summer postcard

Eastman Summer newsletter

Eastman Summer Facebook page

Eastman Summer Instagram

Other social media, please specify source(s)

Online listing, please specify website

Print ad, please specify source

Recommended by (please check one):

School teacher

Private music teacher

Eastman student

ECMS student

Previous Summer student

Other

FINANCIAL CERTIFICATION

I certify that I am financially responsible to the University of Rochester for any and all charges incurred. I further certify and understand that, should my student account not be kept current, the University has the right to assess collection costs, late payment fees, and place a hold on my account that prevents further registration and printing of transcripts.

Typed Signature of Student:*

Date:*

Students under the age of 18 must have their parent/guardian sign the following (applies to online workshops only):

I, the parent/guardian of student named above, agree to be responsible for payment pursuant to the terms of this payment agreement.

Typed Signature of Parent:

Date:

SIGNATURES

Student:*

By checking this box, I acknowledge that the information above is correct to the best of my knowledge.

I agree.

Typed Signature of Student:*

Date:*

Parent or Guardian (required if student is under 18 years of age):

By checking this box, I acknowledge that the information above is correct to the best of my knowledge.

I agree.

Typed Signature of Parent or Guardian:

Date:

Comments

This field is for validation purposes and should be left unchanged.