Summer Chamber Workshop

Submission deadline is March 31, 2021 For additional information, please call Karen Needham 832-797-6882 Completed application forms can be mailed to: Attn: Ms. Needham – 303 Memorial City, Suite #235, Houston, Texas 77024 Download the application form Part 1 of the application may be submitted online by filling in the form below. Nonrefundable application fee..

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Submission deadline is March 31, 2021

For additional information, please call Karen Needham 832-797-6882
Completed application forms can be mailed to:
Attn: Ms. Needham – 303 Memorial City, Suite #235, Houston, Texas 77024

Download the application form

Part 1 of the application may be submitted online by filling in the form below. Nonrefundable application fee of $50.00 is due with the submission of the application:

Student Information
Musician’s Name*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Home Phone*
Musician’s Cell Phone
Email*
Instrument
School
School District
Grade Completed June 2020
Parent/Guardian Information
Name(s)
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Home Phone
Mother Cell
Father Cell
Email
In case of emergency, please contact
Relationship
Phone
Credit Card
- Visa
- Master Card
- AmEx
Name as it appears on card
Address as it appears on credit card bill
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Credit Card Number*
Credit Card Expiration Date*
Electronic signature (type initials as signature)*
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