Name

First Name

Last Name

Pronouns

Birthdate

YYYY

Age on July 2024:

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

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Parent/Legal Guardian Contact #1:

Parent/Legal Guardian #1 Phone Number:

(###)

###

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Parent/Legal Guardian Contact #2:

Parent/Legal Guardian #2 Phone Number:

(###)

###

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Do you have any dietary restrictions or food allergies?

MUSIC INFORMATION AND BACKGROUND:

Who is your current teacher?

Teacher's email address:

Teacher's phone number:

(###)

###

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How long have you been playing the harp?

Sight-reading:

I am a strong sight-reader and can learn new music quickly.

I am a good sight-reader, but it is not always perfect.

I can read comfortably, but need some time in advance to prepare my music.

I am not comfortable sight-reading and need plenty of time to prepare my music.

What year did you begin the pedal harp?

What pieces are in your repertoire?

What is your most recently performed piece that represents your current level?

Where did you hear about the Dorset Harp Colony?

Would you like to have a private lesson during the week?

Apply to The Dorset Harp Colony