Summer Registration Form

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
No

State of legal residence

Country of citizenship

Type of visa/expiration date

Is the student a permanent resident of the United States?

Yes
No

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
No

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, 2024, will the student be age 18 or over?*

Yes
No

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, Summer@Eastman, or the Eastman Community Music School before?*

Yes
No

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

Alexander Technique: Weekend Intensive for Musicians and Music Educators Tuition

La Canción Lírica: A Survey of Spanish Art Song Repertoire - ONLINE Tuition

Choral Masterworks: Bach/Bonds (Conductor)--CLOSED

Choral Masterworks: Bach/Bonds (Auditor)

Eastman Summer Horn Institute: Orchestral Excerpt Audition Intensive Tuition

Eastman Summer Trombone Institute Tuition

Eastman Summer Trumpet Institute: Orchestra and Military Band Audition Intensive Tuition

Eastman Summer Tuba & Euphonium Institute Tuition

Eastman Viola Institute Tuition

French Lyric Diction - ONLINE Tuition

Instrumental Methods and Techniques Tuition

Introduction to Russian Lyric Diction - ONLINE Tuition

Jazz Improvisation for Classical Pianists Tuition

Music Preservation Institute Tuition

Music Preservation Workshop - ONLINE Tuition

Music Theory APSI @ Eastman School of Music - ONLINE Tuition

Pianist's Guide to Dance Accompaniment (in-person institute) Tuition

Pianist's Guide to Dance Accompaniment - (ONLINE) Tuition CANCELLED

Spanish Lyric Diction - ONLINE Tuition

Summer Organ Academy Tuition

Summer Wind Conducting Institute (Conductor)Tuition--CLOSED

Summer Wind Conducting Institute (Auditor) Tuition

Vocal Pedagogy for Choral Conductors & Voice Teachers - ONLINE Tuition

Total

$0.00

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

IMPORTANT NOTE: Eastman’s Student Living Center will be completely closed for renovations during Summer 2024. On-campus housing and meals will not be available. All participants will need to make their own arrangements for housing and meals.

CURRENT STUDENT/ALUMNI DISCOUNT

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

Yes
No

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

Yes
No

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 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. There may be photos taken of Summer participants, but please contact our office at: summer@esm.rochester.edu if you’d rather not have your photo used for marketing purposes.

I agree.

HOW DID YOU HEAR ABOUT THIS PROGRAM?

Summer@Eastman website
Summer@Eastman postcard
Summer@Eastman newsletter
Summer@Eastman Facebook page
Summer@Eastman 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

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.