Summer Chamber Music Academy Registration

Please make sure that the Teacher Assessment Form is sent no later than May 1 to complete your registration. If this form is not received your registration will not be considered complete and you will not be guaranteed placement in ensembles. If you prefer, you can use the printable version of the Teacher Assessment form and email to director@box2039.temp.domains.

Questions? Contact us at 970-305-2261 or email us at director@box2039.temp.domains.

Participant Name
First Last
Parent Name*
First Last
Home Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Parent Email*
Student Email*
Home Phone
Cell Phone
Instrument*
Number of Years Studied
Current Music Teacher
Teacher's Phone and Email
School
Grade*
Please enter a number less than or equal to 12.
Scholarship Information
No student is turned away due to tuition cost! We provide scholarship for families that need it. All we ask is to consider volunteering your time and/or skill(s), which are greatly welcome and appreciated!
Comments:
How did you hear about CMA?*
Let us thank students that recommended CMA to you! (They'll get a $20 Boomer Music Gift Certificate and you can too!)
Please describe
Form of Payment*
Summer CMA Tuition - Credit Card Quantity
Price: $275.00
Total
$0.00
Summer SMA Tuition - Check Quantity
Price: $275.00
Total
$0.00
Phone
This field is for validation purposes and should be left unchanged.

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