2024-2025 Fall Into Spring Application – Franklin Pond Chamber Music

After submitting your application, you will have the option of paying the $45 application fee by check or PayPal. Please no cash.

Student Name

Instrument

Video Audition Link

All audition videos should be uploaded to YouTube and marked as UNLISTED

Individual/Group

I am applying as an individual
I am applying as part of a pre-formed group

If a member of a group, please list all members

Please separate names with a comma

If you are applying as an individual and would like to be put in a group with another applicant, please list their name(s)

Please separate names with a comma

______________________________________________________________________________________

Address

Address Line 1

Address Line 2

City

State

Zip Code

Georgia County

Student Cell Phone

Student Email

Age as of September 1, 2024

Date of Birth

_________________________________________________________________________________________

Parent/Guardian 1 Name

Parent 1 Email

Is Parent/Guardian 1 address the same as the student?

Yes
No

Parent/Guardian 1 Cell Phone

Parent/Guardian 2 Name

Parent/Guardian 2 Email

Is Parent/Guardian 2 address the same as the student?

Yes
No

Parent/Guardian 2 Cell Phone

_________________________________________________________________________________________

Total Years of Study on Your Instrument

Private Instrumental Teacher

Private Teacher's Email Address

Grade in 2024-2025

Year of High School Graduation

Are you in High School or Middle School?

High School
Middle School

Name of Middle School

Middle School Orchestra Director

Name of High School

High School Orchestra Director

Orchestra Director's Email Address

_________________________________________________________________________________________

Are you participating or planning to participate in any of the following youth orchestras during this school year? If so, which one(s)?

List the two most difficult solo pieces you have performed.

Please separate each item with a comma

List all chamber works you have performed in the past two years.

Please separate each item with a comma

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 separate each item with a comma

How did you hear about us?

_________________________________________________________________________________________

You are almost finished!

By signing below, both student and parent are agreeing that they have read and discussed the requirements of the Fall Into Spring program as set forth on the website. If any questions arise, please contact Ronda Respess at FPCM@franklinpond.org

Student Signature

This field serves as your electronic signature.

Parent Signature

This field serves as your electronic signature.

Date

Payment Options

I will pay the application fee online, after clicking "Submit" (via PayPal).
I will pay the application fee via check (U.S. mail).