Creative Strings Application – Community Arts Program

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READ CAREFULLY: This is a serious endeavor that requires attendance EVERY Monday. Consider this carefully BEFORE applying. Student’s and parent’s or guardian's digital signatures below and the submission of this application confirm that each have read and understand this and that OVERALL schedules can accommodate a FULL commitment.

Student's Digital Signature*

First Last

Parent's or Guardian's Digital Signature*

First Last

Student's First Name*

Student's M.I.

Student's Last Name*

Parent's or Guardian's First Name*

Parent's or Guardian's Last Name*

For which CAP Creative Strings group are you applying?*

Creative Strings I
Creative Strings II
Creative Strings III

Home Address*

Street Address Address Line 2 City State ZIP Code

Home Telephone*

Parent's or Guardian's Cell Phone*

Student's Email Address*

Enter Email Confirm Email

Parent's or Guardian's Email*

Enter Email Confirm Email

School's Name*

School Music Teacher*

School Music Teacher's Email*

Enter Email Confirm Email

School Music Teacher's Phone Number*

School Address*

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

Grade in 2018-2019 School Year*

When is the student's birthday?*

MM

DD

YYYY

Does the student have any disability of which we should be aware in order to best serve the student? ALL INFO REMAINS CONFIDENTIAL.*

Yes
No

If yes, please describe fully below.*

What instrument does the student play?*

How long have you played your instrument?

Does the student have access to his or her instrument for consistent practice at home, as well as rehearsals and performances?

Yes
No

Does the student take weekly lessons on his or her instrument with a private teacher?*

Yes
No

If no, apply for CAP Saturday Music Classes to study your instrument. You may apply at http://communityartsprogram.org/music-classes/application/.

Private Teacher's Name*

Private Teacher's Phone*

Private Teacher's Email*

Why does the student want to participate in CAP Creative Strings?*

Please list the title and composer of the pieces with which the student is auditioning:*

How long has the student been playing his or her audition piece(s)?*

Will the student have transport to and from rehearsals?*

Yes
No

List current AND anticipated activities (school & other) with days & times of involvement. Include ALL school, after-school, extra-curricular and family activities that will demand the student's time.

The membership fee is $350 upon acceptance. Is the student in need of a scholarship (i.e., an amount of $350 or less)?*

Yes (Note: If “yes,” each parent will be required to submit the most-recent Tax Form 1040 and two most-recent paystubs.)
No

What amount, $0-$350, can the parent or guardian pay?*

IN THE BOX BELOW, briefly outline your need and provide helpful comments that support your need. All information is strictly confidential.

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PARENTS' NOTE: Students' success hinges on parents' encouragement and interest in their child's learning and personal growth. A commitment to consistent weekly attendance is key to this.

Additional field trips (i.e. concerts and performances) will be a part of this program. Continuation in CAP is based on consistent, weekly attendance, behavior, and satisfactory growth within the program.

I give permission to use my child's name, photograph and/or performance recordings (including audio and/or video forms) in brochure, web, and other promotional materials.

Parent's or Guardian's Digital Signature*

First Last

Date*