Selmer Paris Summer Academy Registration

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Fill out this form to apply for the Selmer Paris Summer Academy for the summer of 2023. After completion, please use the PayPal link on the Registration page of the website (https://henriselmeracademy.com/index.php/registration) or your registration may be considered invalid, and send a recording of two contrasting pieces, a copy of your resume, and a scan of a government issued ID to henriselmeracademy@gmail.com. Thank you for applying to the Selmer Paris Summer Academy!

Email *

Name *

Birth Date *

YYYY

Emergency Contact & Phone Number *

Address *

Cell Phone Number *

Current School *

Current Year *

Current Private Teacher *

Participation level *

Performer - Participate in private lessons, master classes, and other sessions. $1485 tuition, includes room and board.

Auditor - Audit master classes and other sessions. $350 tuition

Would you like to participate in the competition? *

Yes

Applicant Signature *

By checking this box, you affirm that you are over the age of 18 or have provided a similar signature from a parent or guardian below and that the information on this sheet is factually accurate.

Required

Parent or Guardian Signature (required if applicant is under the age of 18)

By checking this box, you affirm that you are the legal parent or guardian of the applicant and that the information on this sheet is factually accurate.

Submit

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