Music at Port Milford
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Music at Port Milford

2012 Application Form

  • Fill out this form by April 15 (if you prefer, this is a printable form). Phone (914-439-5039) for late applications.
  • New Students must submit a cd or dvd with two contrasting pieces or movements or arrange a private audition (914-439-5039).
  • New students must include a letter of recommendation from their private or school music teacher.
  • Send Processing Fee check for $75 made out to "Music at Port Milford":
       Meg Hill c/o Music at Port Milford
       288 Washington Ave.
       Pleasantville, NY 10570
Session:
Student Name:
Date of Birth:
Instrument:
Years of Study:
Parent/Guardian Name(s):
Phone(s):
Email(s):
Street Address:
City:
State/Province:
Zip/Postal Code:
Country:
Teacher's Name:
Teacher's Phone:
Teacher's Email:
Teacher's Address:
Current solo, chamber, orchestra or choral music repertoire you are working on (specify pieces):
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