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)
Instrument:
Parents' names: (if student is under 18)
Street Address:
City/Town:
Province/State:
Country:
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)