Northern California Flute Camp Application

Attach additional sheet if necessary. This form may be photocopied.

Name ____________________________________________________________________ Sex [ ] M  [ ] F

Address ________________________________ City _____________ State ___________ Zip ________

Home Phone (    ) _________________ Email Address (if applicable) ________________________

Date of birth __________________________ Age you will be as of 07/7/17 ___________________

Parent/Guardian Name _____________________________________ Work Phone (     ) ____________

2nd Parent/Guardian Name __________________________________Work Phone (     ) ____________

Grade entering next fall____________ Years studied privately______________________________

Foreign students: What is your first language?____________________________________________

Do you speak English fluently?____________________________________________________________

Private teacher information

Name: ____________________________________________________________________________________

Address: _________________________________________________________________________________

Phone:_____________________________________Email:_________________________________________


List at least 3 etudes or solo pieces that you have worked on in the last year. Include
composer and title

__________________________________________________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

Do you currently play in an ensemble? (Band, flute choir, orchestra, etc.) [ ] Yes [ ] No

If yes, describe: ________________________________________________________________________

If no, have you ever played in an ensemble? ______________________________________________

If yes, describe: ________________________________________________________________________

List any concerts, festivals, recitals, etc., in which you have performed in the last year:

Performance(s) with Date(s)_______________________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________


Have you ever performed in or audited a flute master class? [ ] Yes  [ ] No

If yes, which one?  Teacher ___________________________________ Date _____________________

Have you ever attended a camp? [ ] Yes [ ] No

How many hours do you practice each week? _______

Why do you want to attend NCFC?

__________________________________________________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

Please check one:

I am emailing my audition as [ ] an audio file [ ] YouTube link to flutecamp@hotmail.com

Student Signature _______________________________ Parent Signature _______________________
Non-refundable deposit of $325* due with application no later than May 1, 2017.

*Students not admitted will be refunded the deposit. Limited space available!
Make checks payable to Northern California Flute Camp, and mail to:
Northern California Flute Camp, PO Box 53724, San Jose, CA 95153

Non-Discriminatory Statement
Hidden Valley Music Seminars admits students and employs personnel of any race, color, religion, sex, national origin, age, handicap, or political affilation. It does not discriminate on the basis of race, color, religion, sex, national origin, age, handicap, or political affilation in the administration of its educational policies, adminissions policies, scholarship program, or other school administered programs.