si piano festival 2017 registration form-piano 4-hands...
TRANSCRIPT
SI Piano Festival 2017 Registration Form: PIANO 4-Hands/ENSEMBLE
Name 1 (please print) _______________________________________ Age ______ Instrument __________
Name 2 (please print) _______________________________________ Age ______ Instrument __________
Name 3 (please print) _______________________________________ Age ______ Instrument __________
Name 4 (please print) _______________________________________ Age ______ Instrument __________
Name 5 (please print) _______________________________________ Age ______ Instrument __________
Contact Person’s Address_____________________________ City________________ State ___ Zip______
Phone Number(s): Home______________________________ Cell ________________________________
E-mail Address __________________________________________________________________________
Name of School ____________________________________ Your Current Level in Piano ______________
Name of Current Piano Teacher (if applicable) _________________________________________________
Please bring an original copy of your repertoire to the Clinic, and also to the Masterclass if chosen to play in one of the two Masterclasses taught by SIU Piano Faculty; participants for the Masterclasses will be selected during the festival; Masterclass is free and open to the public
Repertoire (One or Two pieces for a 20-minute Clinic at $15 per group):
1. Title _________________________________________________________________________________
Composer: _____________________________________________________ Duration ___ minutes
Your Piano Teacher or Your Comments to indicate problem areas or focal points (if any) for Repertoire #1:
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
2. Title _________________________________________________________________________________
Composer: _____________________________________________________ Duration ___ minutes
Your Piano Teacher or Your Comments to indicate problem areas or focal points (if any) for Repertoire #2:
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
Signature of Your Piano Teacher (preferred), or Parent/Guardian/Self________________________________
Make checks payable to SIU (with ‘Piano Festival’ listed in the memo line) – send this form and the registration fee of $15 for a 20-minute Clinic per group, postmarked by October 5th to guarantee your spot, to: Dr. Junghwa Lee ([email protected]), SI Piano Festival Director, School of Music, Mail Code 4302, Southern Illinois University, Carbondale, Illinois 62901, (618) 536-8742.