Name:
Age:
Sex:


Address:
City:
State:
Zip:



Home Phone:
Cell/Work Phone:

E-mail Address:

Instrument(s):

Present School/employer:

Present teacher's address and/or phone:


Signature: __________________________________________________________

Date:

Please attach a separate sheet outlining your education and performance background.

Tuition/Room/Board: $850
$300 nonrefundable deposit upon acceptance


Balance of $550 due by August 3, 2005
Make checks payable to Hidden Valley Music Seminars. Please mail your application material to:
Early Music Workshop
Hidden Valley Music Seminars
Post Office Box 116
Carmel Valley, CA 93924

Notice of Nondiscriminatory Policy
Hidden Valley Music Seminars admits students and employs personnel of any race, color, religion, sex, national origin, age, handicap, or political affiliation. It does not discriminate on the basis of race, color, religion, sex, national origin, age, handicap, or political affiliation in administration of it educational policies, admission policies, scholarship programs, and other school administration programs.

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