Piano Pedagogy Seminar: A Focus on the Intermediate Level
June 11-12, 2013
Covenant Fine Arts Center, Calvin College

Please fill out and print the registration form below. Send one registration form per person along with your payment to the address below. Payments should be check or money order made payable to Calvin College.

If you would like to register with a credit card, please use our secure online registration form at http://pianopedagogy.eventbrite.com
. Please note that a small processing fee will be added to online registrations.


Registrant Information -- Piano Pedagogy Seminar

Name (First):
Name (Last):
Name as you would like it to
appear on nametag
Place of Employment:
Discipline/Area of Study:
Home Address:
Institution Address:
Preferred Address: Home
Daytime Phone:
Email Address:

Special Needs

Do you have any special needs (dietary, accessibility, or other)? If so, please list.
How did you hear about this conference?

To be completed by pre-registrants and received by May 17, 2013.

Repertoire lists for all session will be sent to pre-registrants.

Day One, Session Four: Requested repertoire to be discussed:

Composer 1:

Composer 2:


Day Two, Session Four: Requested Duet Repertoire:

Composer :

Please indicate whether you would like to perform the duet for the group with a partner or one of the clinicians:

Perform with:


Registrant Contact List

During the conference, we will provide all registrants with a list of names and contact information for all who attend.
I give permission for my name and contact information to be made available to all registrants.

Registration Options

Please check only one option.
$150 Pre-Registration (Literature requests must be received by May 17, 2013. All other pre-registration must be received by June 6, 2013).
$75 Student Registration (Valid Student ID is required. Literature requests must be received by May 17, 2013. All other pre-registration must be received by June 6, 2013)
$175 Registration at the door  
Notes, comments, or questions:

Cancellation Policy: Cancelled registrations will be refunded, less a $15 cancellation fee if cancelled before June 3, 2013.

If you have any questions, please contact us at:
Seminars @ Calvin
1855 Knollcrest Circle SE
Grand Rapids, MI 49546-4402
(616) 526-8558