Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. After clicking submit at the bottom of this application, you will be directed to PayPal to pay the $40 application fee. (Late applications will be only be considered if there are available spots to fill.) If paying by check, please mail to 4835 Franklin Pond NE, Atlanta, GA 30342. APPLICANT GENERAL INFORMATIONName *YouTube link to video audition *Please be sure your video is marked as UNLISTED on YouTubeInstrument *Years of Study *Date of Birth *MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Age as of June 1 *1112131415161718Student Email *If the student does not have an email address, please put the primary parent/guardian emailStudent Phone *If the student does not have a cell phone, please put the primary parent/guardian numberHome Address *State *CountyApplingAtkinsonBaconBakerBaldwinBanksBarrowBartowBen HillBerrienBibbBleckleyBrantleyBrooksBryanBullochBurkeButtsCalhounCamdenCandlerCarrollCatoosaCharltonChathamChattahoocheeChattoogaCherokeeClarkeClayClaytonClinchCobbCoffeeColquittColumbiaCookCowetaCrawfordCrispDadeDawsonDecaturDeKalbDodgeDoolyDoughertyDouglasEarlyEcholsEffinghamElbertEmanuelEvansFanninFayetteFloydForsythFranklinFultonGilmerGlascockGlynnGordonGradyGreeneGwinnettHabershamHallHancockHaralsonHarrisHartHeardHenryHoustonIrwinJacksonJasperJeff DavisJeffersonJenkinsJohnsonJonesLamarLanierLaurensLeeLibertyLincolnLongLowndesLumpkinMaconMadisonMarionMcDuffieMcIntoshMeriwetherMillerMitchellMonroeMontgomeryMorganMurrayMuscogeeNewtonOconeeOglethorpePauldingPeachPickensPiercePikePolkPulaskiPutnamQuitmanRabunRandolphRichmondRockdaleSchleyScrevenSeminoleSpaldingStephensStewartSumterTalbotTaliaferroTattnallTaylorTelfairTerrellThomasTiftToombsTownsTreutlenTroupTurnerTwiggsUnionUpsonWalkerWaltonWareWarrenWashingtonWayneWebsterWheelerWhiteWhitfieldWilcoxWilkesWilkinsonWorthCity *Zip Code *Are you a returning student?Yes, I have attended the Summer Intensive and/or Fall Into Spring ProgramNo, I have not participated in any Franklin Pond programsI have participated in the Chamber Music CompetitionI have previously applied but not attended FPCMAllergies or conditions of which the coaching artists and staff should be aware *T-shirt size *Youth MediumYouth LargeAdult XSAdult SAdult MAdult LAdult XLAdult XXLPARENT/GUARDIAN INFORMATIONParent/Guardian 1 Name *Relationship to student *Parent/Guardian 1 Phone *Parent/Guardian 1 Email *Is the Student address the same as the Parent/Guardian 1 address?YesNoParent/Guardian 2 NameRelationship to studentParent/Guardian 2 PhoneParent/Guardian 2 EmailParent/Guardian 1 AddressAddress Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeSCHOOL AND TEACHER INFORMATIONPrivate Teacher Name *Private Teacher Phone *Private Teacher Email *Private Teacher AddressAddress Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeSchool *School Instrumental TeacherSchool Instrumental Teacher EmailGrade (2026-27) *6th7th8th9th10th11th12thYear of high school graduation *MUSICAL BACKGROUND AND EXPERIENCEList the two most difficult solo works you have performed. *Please use commas to separate worksList all chamber works you have performed in the past two years *Please use commas to separate worksIs there any chamber music repertoire you would like to learn? *List all musical activities in which you have been involved and any music awards or scholarships you have received in the last two years. *Please use commas to separate each activityFINAL SIGNATURE AND PAYMENTParent/Guardian Signature *Entering your name here acts as your electronic signature. Applicants 18 years of age may sign for themselves.Date *Payment Options *I will pay the application fee onlineI will pay the application fee via check (U.S. mail).Stripe Credit Card *Submit
