MIDWEST SCHOOL OF MUSIC WINTER RECITAL

Sunday, February 8 at Meridian Music (located at 12725 Old Meridian St Carmel IN  46032)

application deadline:  January 25 (no exceptions)

non-refundable recital fee:  $15 per student

The performance schedule will be posted on schoolofmusic.com beginning Feb 15.  Your instructor will also have the students' performance times.  

Please complete all required fields on the form below. if any are missing, the form will not submit.  The recital fee will be included on your next statement. 

We cannot guarantee a specific recital time.  Please take this into consideration before submitting your application and non-refundable fee.

(Your personal information will not be shared, sold or traded for any purpose.  It will be used only for recital administrative purposes.)

* denotes required field

Today's Date	*
parent(s) name	*
address	*
city	*
zip code	*
home phone	*
cell phone
email address	*
total performers in your family (exclude famiily members who are providing accompaniment)	*
1st performer's name as it should appear on the program	*
instrument	*
please note: if you are performing on anything other than the piano, you will be required to bring your own instrument.
length of study:
with current instructor	*
with previous instructor(s)	*
current instructor's name:	*
level (please ask your teacher for this information)	*	early beginner beginner advanced beginner early intermediate intermediate advanced intermediate advanced
composition(s) in the order they will be played (include opus #, movement, etc if applicable)
1st piece	*
composer (first and last name)
date of birth
date of death
2nd piece (optional)
composer (first and last name)
date of birth
date of death
2nd performer's name as it should appear on the program:
instrument
length of study:
with current instructor
with previous instructor(s)
current instructor's name
level		early beginner beginner advanced beginner early intermediate intermediate advanced intermediate advanced
composition(s) in the order they will be played (include opus #, movement, etc if applicable)
1st piece
composer (first and last name)
date of birth
date of death
2nd piece (optional)
composer (first and last name)
date of birth
date of death
3rd performer's name as it should appear on the program
instrument
length of study:
with current instructor
with previous instructor(s)
level		early beginner beginner advanced beginner early intermediate intermediate advanced intermediate advanced
composition(s) in the order they will be played (include opus #, movement, etc if aplicable)
1st piece
composer (first and last name)
date of birth
date of death
2nd piece (optional)
composer
date of birth
date of death
preferred time (times will be assigned as applications are received and cannot be guaranteed. Please check the performance schedule beginning Feb 27)		12pm 1pm 2pm 3pm 4pm 5pm
Comments:
Security Code	*