Chicago Tuba/Euphonium Summer Institute
Student Name
First Name
Last Name
Birthdate
Instrument
Total Years of Study
Grade in School for Fall 2025
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Student Email
example@example.com
Student Mobile Number
Please enter a valid phone number.
Format: (000) 000-0000.
Parent/Guardian Name
Daytime/Emergency Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Parent/Guardian Email
example@example.com
Private Lesson Teacher if applicable
Private Lesson Teacher Email if applicable
example@example.com
School Name
Name of Band or Orchestra Director
Director Email
Submit
Should be Empty: