Online Application – PIANO WORKS IN PROGRESS

Participant*

First

Last

Email*

Mobile*

Area Code

-

Phone Number

Address:*

Street AddressCityState / Province / RegionPostal / Zip Code

Teacher email*

Current repertoire*

1/6

Solo

Four-hands+

Both solo and four-hands+

Solo repertoire

Four-hands+ repertoire

Four-hands+ request

Have a partner

Have a piece

Need a partner

Need a piece

Musical intention

Media and Liability Waiver: I recognize that Piano Works In Progress, along with the venue it uses, exercises reasonable precautions to safeguard participants and guests at Piano Works In Progress, VT. In the exceptional case of personal injury, illness, property loss, or damages resulting directly or indirectly from participation in PWIP, VT, I release PWIP and its representatives from liability, subject to the laws of the State of New York. As a participant, I hereby give my permission to representatives of PWIP to take photographs of the sponsored event and to publish them with appropriate captions in PWIP publications and on the PWIP website.

Media and Liability Waiver*

I agree

Resident tuition (music fee, housing, meals) $1200

Day tuition (music fee, no housing, meals) $950

Payment Option #2: Deposit

Deposit of $400 Tuition balance due September 5

Additional payment: (optional)

Bring a guest to share your room $275

Ride with PWIP staff (NYC to VT) $60

Ride with PWIP staff (VT to NYC) $60

Burlington Airport pick-up $25

Burlington Airport drop-off $25

The SUBMIT button takes you to PayPal where the amount is totaled, and payment can be made by credit card.
If you prefer to make payment by check, click SUBMIT to register your application, and you will receive a confirmation email with instructions on where to mail payment.

Click SUBMIT only once. It may take a few seconds.