Check each program you wish to enter.
MUSIC STUDIES	CHAMBER MUSIC ENSEMBLE	CHORAL ENSEMBLE	CHAMBER ORCHESTRA

CONCERT BAND	WORKSHOP Workshop Name:	MASTER CLASS Master Class Name:
Other Program Desired:

First Instrument / Voice:	Years studied:	Current Teacher:
Second Instrument:	Years studied:	Teacher:
Other Music Studies:	Years studied:	Teacher / School:

How did you hear about the Academy?

Do you want a referral to an instrumental or voice teacher?  No    Yes If YES, you will be given referrals.

Pre-College only: Do you require any financial aid?  No    Yes If YES: A copy of the parents latest IRS tax form (top page only, both sides), must be submitted, along with a letter stating what the family can pay toward tuition to: AMN 9109 - 196th. Street S. W. Edmonds, WA. 98026-6333 The Academy supports qualified requests up to the limit of available scholarship funds.  All information remains confidential with the Board Committee.  Results will be provided before classes begin.

Complete this section for Children and Pre-College applications.  Adult applicants skip this section.
Age:	Age in Sept:	Birth Date: (Mo / Day / Yr)	School:
Latest Youth Symphony / Choral Group:

Father's Name: (First Last)	Phone: (if other than above) (Please include Area Code)	AM PM
Mother's Name: (First Last)	Phone: (if other than above) (Please include Area Code)	AM PM

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