Drew University Department of Music
Campus & Beyond Programs
New Jersey Flute Choir Day

Application Form
Program Date: March 27, 2011

Print this form and
mail with your fees and tape to:
New Jersey Flute Choir Day
Dr. Norman Lowrey, Chair
Drew University Department of Music
36 Madison Avenue
Madison, NJ 07940
Application with fee must be postmarked by February 12, 2011 for reduced amount. No refunds will be made after March 1, 2011.
Please make check payable to "Drew University."

Name:______________________________________ Age:__________________  Grade:________________

Address:___________________________________________________________

City, State, Zip:__________________________________________________

Phone:__________________  E-mail:______________________  Name of School (for program):_________________________
Circle the years you have attended Flute Choir Day   97/98   99/00   01/02   03/04   05/06   07/08  09/10  10/11  

Private Teacher or Band Director  Name:______________________________________________________________

Address:___________________________________________________________

City, State, Zip:__________________________________________________

Phone:_____________________ E-mail:________________________________
Signature:_________________________________________________________

_________________________________________________________________________________
Tote Bag Order:
Number of Bags at $15 each ___________        Tote Bag total: $__________  Number of participants ____________

Program Fees:
$75 per participant (if postmarked by Feb 12, 2011)       $__________
$80 per participant (if postmarked after Feb 12, 2011)    $__________

Total enclosed:                                          $__________
	(Please make check payable to "Drew University")
_________________________________________________________________________________
PLEASE COMPLETE THE FOLLOWING QUESTIONAIRE
CIRCLE THE INSTRUMENT(S) YOU PLAY:

Flute    with C Foot    with B foot    Piccolo    Alto Flute    Bass Flute

Circle the instrument(s) you will be alble to bring and play:

Piccolo     C Flute     Alto Flute     Bass Flute   How many years have you played? ____________

Have you studied privately?  YES     NO     If yes, for how many years? _______

PERFORMANCE EXPERIENCE:
How many years in each of the following organizations?

Jr. High Band ________     Jr. High Orchestra ________ H.S. Band ______     H.S. Orchestra ________

Region/All-State Band and Orchestra (indicate which one)
Jr. Regional Orchestra _________________________________
Jr. Regional Band ______________________________________
Sr. Regional Orchestra _________________________________ All-State
Sr. Regional Band ______________________________________ All-State
Summer Programs ________________________________________
Other Programs _________________________________________

AUDITIONS:
______ I am auditioning-up from Level 1 to Level 2
______ I am auditioning-up from Level 2 to Level 3
______ I am auditioning for Level 5
_________________________________________________________________________________
QUESTIONS?
	Contact
	L. Elise Carter 973-851-5435
	E-mail: ecarter@drew.edu