HDMTA SPRING CLINIC SIGN-UP FORM
TITLE OF PIECE
LEVEL
TIMED LENGTH
COMPOSER/ARRANGER
STUDENT NAME(S), INSTRUMENT(S), AGE/GRADE(S)
ACCOMPANIST'S NAME
SPECIAL REQUESTS (i.e, time of recital, siblings, etc.)
TEACHER
Parent(s) Name
Phone Number
-
Area Code
Phone Number
Session Length Choice
20 minutes $25
30 minutes $35
45 minutes $50
60 minutes $65
Please add a PDF copy of the music to be performed for the Clinic. Please number the measures.
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Is the student also enrolling in the May Honors Recital? See here for more information on what this is: http://www.hdmta.org/recital-information.html
Is the student a graduating Senior?
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