Registrant Information -- Piano Pedagogy Seminar
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| Prefix: |
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| Name (First): |
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| Name (Last): |
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Name as you would like it to
appear on nametag |
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| Place of Employment: |
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| Discipline/Area of Study: |
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| Home Address: |
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| Institution Address: |
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| Preferred Address: |
Home
Institution |
| Daytime Phone: |
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| FAX: |
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| Email Address: |
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Special Needs
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| Do you have any special needs (dietary, accessibility, or other)? If so, please list. |
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| How did you hear about this conference? |
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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:
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Registrant Contact List
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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.
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Registration Options
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Please check only one option. |
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$150 Pre-Registration (Literature requests must be received by May 17, 2013. All other pre-registration must be received by June 6, 2013). |
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$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)
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$175 Registration at the door |
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| Notes, comments, or questions: |
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Cancellation Policy: Cancelled registrations will be refunded, less a $15 cancellation fee if cancelled before June 3, 2013.
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If you have any questions, please contact us at:
Seminars @ Calvin
1855 Knollcrest Circle SE
Grand Rapids, MI 49546-4402
(616) 526-8558
seminars@calvin.edu
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