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."

If you are applying as a performer for the Summer Virtual Cello Workshop, Eastman Clarinet Online Workshop, Eastman French Horn Online Workshop, Summer Organ Online Workshop, or Eastman Trombone Online Workshop, an audition is required before you can register. Please DO NOT submit this form until you have been accepted to the program.

STUDENT INFORMATION

Student Name*

First Last

Home Address*

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

Student's Date of Birth:*

Gender*

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:

Emergency Contact (other than parent/guardian):

Name*

Phone (include area code)*

Relationship*

Student contact email address:*

Email address for program notifications and billing (parent/guardian email address if student is under 18):

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

As of June 27, 2021, will the student be age 18 or over?*

Yes
No

Grade in School in 2020-21:

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:

Parent/Guardian #1:

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

Name:

Phone (include area code):

Parent/Guardian #2:

Name:

Phone (include area code):

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):*

Advanced Conservation Independent Study Tuition

Alexander Technique for Musicians Tuition

Limit: 6 students

Alexander Technique + Moblignment (session 1, July 10-11) Tuition

Limit: 6 students

Alexander Technique + Moblignment (session 2)

COURSE CANCELLED

Analyzing Contemporary Music

Limit: 10 students

Art Songs by Women Composers: Repertoire and Historical Context Tuition

Eastman Clarinet Online Workshop

COURSE CANCELLED

Eastman French Horn Online Workshop Tuition

Limit: 15 performers (unlimited auditors)

Eastman Online Percussion Festival Tuition

Eastman Saxophone Online Workshop Tuition

Eastman Trombone Online Workshop Tuition

Eastman Trumpet Online Workshop

COURSE CANCELLED

English Lyric Diction & Introduction to IPA Tuition

French Lyric Diction Tuition

German Lyric Diction Tuition

Instrumental Methods and Techniques Tuition

Introduction to Russian Lyric Diction Tuition

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

Music Preservation for Musicians At Home Workshop

COURSE CANCELLED

Music Preservation Workshop for Librarians Tuition

Music Theory ONLINE - APSI at Eastman School of Music Tuition

Limit: 20 students

Phrase Rhythm and Form in Brahms Chamber Music Tuition

Limit: 10 students

Silent Film Accompaniment

COURSE CANCELLED

Spanish Lyric Diction Tuition

Summer Organ Online Workshop

COURSE CANCELLED

Theory & Analysis of Rock Music Tuition

Limit: 10 students

The Treasury of Music Manuscripts

COURSE CANCELLED

Unbroken Circle: Native American Song and Dance

COURSE CANCELLED

Virtual Summer Cello Workshop Tuition

Limit: 16 performers (unlimited auditors)

Vocal Pedagogy for Choral Conductors & Voice Teachers Tuition

You Are Your Instrument: Embodiment and Acting For Singers Tuition

Limit: 10 performers, 5 auditors

You Are Your Instrument: Level 2 - Acting the Art Song

COURSE CANCELLED

Total:

$0.00

No payment is due at this time. Information about billing/payment will be sent separately once your registration has been processed.

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).

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.

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 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.

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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

SIGNATURES

Student:*

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

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 abilities.

I agree.

Typed Signature of Parent or Guardian:

Date:

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

STUDENT INFORMATION

REGISTRATION INFORMATION

COURSE CANCELLED

COURSE CANCELLED

COURSE CANCELLED

COURSE CANCELLED

COURSE CANCELLED

COURSE CANCELLED

COURSE CANCELLED

COURSE CANCELLED

COURSE CANCELLED

PHOTOGRAPHY, SOUND AND VIDEO RECORDING RELEASE

HOW DID YOU HEAR ABOUT THIS PROGRAM?

SIGNATURES

S@E Quick Links

CONTACT US

Office Hours