California Summer Music
July 7-30, 2012
Application deadline: January 23, 2012
Parent Information:
Salutation
Last name:
First name:
Check here if address, phone and fax are the same as the applicant's
Address Line 1 (Number, Street, Apt/Ste):
Address Line 2 (if necessary):
City:
State:
or check here and type your parent's country name in the box below if they are international
Zip/Postal Code:
Home phone (leave blank if they only have a cell phone):
Fax:
Cell phone:
Work phone:
Email:
Occupation:
Second Parent Information:
Salutation
Last name:
First name:
Check here if address, phone and fax are the same as the applicant's
Address Line 1 (Number, Street, Apt/Ste):
Address Line 2 (if necessary):
City:
State:
or check here and type your parent's country name in the box below if they are international
Zip/Postal Code:
Home phone (leave blank if they only have a cell phone):
Fax:
Cell phone:
Work phone:
Email:
Occupation:
Current teacher information:
Last name:
First name:
Address Line 1 (Number, Street, Apt/Ste):
Address Line 2 (if necessary):
City:
State:
or check here and type your teacher's country name in the box below if they are international
Zip/Postal Code:
Email:
Previous teachers:
How did you hear about CSM (check all that apply)?
Friend CSM Alumnus/Alumna Teacher
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Other Website:
Other