ASU Summer Piano Institute Registration June 8th-June 13, 2025
Registration and Payment Deadline May 27, 2025 - $500.00 for residential participant, $400.00 for commuter. $35 for each additional lesson selected. $50 discount for payments sent before April 1, 2025.
Adams State University, Department of Music, 208 Edgemont Blvd., Suite 3040, Alamosa, CO 81101 719-587-7621
Participant's First Name
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Participant's Last Name
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Participant's Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent/Guardian First Name
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Parent/Guardian Last Name
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Parent/Guardian Email
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Parent/Guardian Phone Number
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Participant's Phone Number
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Please enter a valid phone number.
Participant Type
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Please Select
Boarding
Commuter
Name of requested roommate (both students must request each other to be housed together).
Age
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Gender
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Please Select
Male
Female
Other
If you selected other, please specify.
Grade for the Upcoming School Year
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Please Select
8th
9th
10th
11th
12th
Rising college freshman
Current Piano Instructor's First Name
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Current Piano Instructor's Last Name
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Please include unrestricted YouTube links to 1-2 videos that represent your current level of playing. In the video description, include the name of the piece and the composer. These videos are not auditions for acceptance but will be used for leveling purposes.
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YouTube Link #1
YouTube Link #2
Extra Lessons (All students have one private lesson included with tuition. Up to two additional lessons may be added for $35/lesson. Payment due with registration)
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Please Select
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Allergies
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Dietary Restrictions
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T-Shirt Size
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If you are interested in receiving a need-based scholarship, please write a 250-500 word essay explaining why you would like to attend piano camp and why you feel a scholarship would be helpful.
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Statement of Student Commitment
I, (signature below and name listed above as student), accept the terms of participation for the Adams State University Summer Piano Institute. I will uphold the standards of integrity, character, and decorum necessary to contribute at the best of my ability and will abide by all Institute rules. I will be punctual (early), courteous and supportive of all, and will conduct myself in a manner that credits my family and community. I agree to pay the tuition fee prior to May 27, 2025 and understand that my position will be forfeited if payment is not received.
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Date
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