School of Music

Summer Keyboard Explorations

Summer Keyboard Explorations
Registration Form

Before beginning the registration process, please carefully read the entire form and make sure that you have all the necessary information. Payment by credit card is preferred - Visa or MasterCard. If you cannot pay by credit card, then you may mail a check (instructions provided after registration is complete). If you have questions, please e-mail or call Dr. Jeffrey Savage (; 509-335-3991). This form does not "save" and you will have to start over again if you cannot finish it in one sitting.

If a particular question doesn't apply to you, or you don't know the information, type "N/A" or "none" or "don't know."

The online application, including fees, must be received by May 25, 2018. Cancellations prior to June 1, 2018 will be refunded, minus a $30 administrative fee.

Please fill in the following information.

First name:
Last Name:
Street Address
Birthdate (Month/Day/Year)
Cell Phone (if any)
Home Phone
Student's E-mail
Parent or Guardian
Parent/Guardian's Cell Phone
Parent/Guardian's Phone (alternate)
Parent/Guardian's E-mail
School Name
School City/State/Zip
Current Private Piano Teacher
Teacher's E-mail
Teacher's Phone
Length of study with current teacher
Total length of piano/keyboard study
List significant past and present playing experiences
List pieces that you are currently studying, including etudes or technical exercises (Composer, Title)
Attach resume or repertoire list if desired:
List ensembles/chamber music you have performed in during the last two years
What is your intended major if you decide to attend college?
Please indicate your T-shirt size.
Adult Small
Adult Medium
Adult Large
Adult Extra Large
Child Extra Small (2-4)
Child Small (6-8)
Child Medium (10-12)
Child Large
You may include a recording to ensure that you are placed in a piano ensemble (duet or quartet) that fits your level. We encourage you to submit a recording, however it is not required to complete the application.
(optional)If you have any, please provide a link to recordings that represent your playing level.
Piece 1 (cut-and-paste a link)
Piece 2: (cut-and-paste a link)
Roommate Preference (for residential campers only)
Please select your roommate preference
I have no preference. Please select a roommate for me that is from my own gender and age group.
I prefer to share a room with my friend (type in friend's name below).
Friend I would like to room with:

This is the end of the registration form.

Please click on the "Continue" button 
to proceed to the payment page. Payment can be made by credit card (Visa or MasterCard) or check. 

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School of Music, PO Box 645300, Washington State University, Pullman WA 99164-5300, 509-335-3898, Contact Us