2017 Application Form | Rosamunde Summer Music Academy

2017 Application Form

Please submit one form, one recording, and one application fee for each student that applies, even if they are from the same family.

Remember to submit your $50 application fee via Paypal by March 31, 2017. Balance of tuition due June 1, 2017.

Please note: We will only accept YouTube links for online applications this year or CDs/DVDs that are mailed in

Participant First Name:
Participant Last Name:
Age: (student age)
Parents' names: (if student is under 18)
Street Address:
Postal Code:
Phone #:
Mobile Phone #:
Current primary teacher:
Teacher's contact: (email or phone #)
RCM Grade: (current approximate)

(repertoire I'd like to work on at Rosamunde)

Composer: (recording 1)
Title: (recording 1)
Length: (recording 1)
Composer: (recording 2)
Title: (recording 2)
Length: (recording 2)