Group Music Class Program 2019 - Glow Cultural Center

Circle program of interest (more than one may apply) *

GCC Beginner/Intermediate Group Class Program (Fees : $15.00/50min)
GCC Youth Orchestra Program (TBA for Audition Schedule)
GCC YouTube Channel Program (TBA for Interview)
GCC Teaching Assistant (T/A) Position for Group Class and Orchestra program (TBA for Audition Schedule)

Personal information

Student Name : *

First

Last

Name of contact person : *

First

Last

Date of Birth

Address :

Address Line 1

Address Line 2

City

State

Zip Code

Email : *

Name of School :

Name of School Music Teacher :

Parent / Guardian’s Name (if student is under 18years) : *

Cell - Parent / Guardian :

Parent / Guardian's Email address : *

Audition (Only Orchestra and Teaching Assistant Applicants)

No audition for beginner / Intermediate group music program applicants Live audition Schedule & Location : TBA Video Recording Audition : Send us your recording Link to (email: michelle.nam@glownyc.org with Student’s name)

Type of Performance:

Solo
Ensemble

If you are Ensemble performer, please provide other performer’s name :

Repertoire :

Composer :

Performance Duration :

Instrument:

Name of Accompanist (If applicable) :

Name of Private Teacher :

Private Teacher (Cell) :

Membership Fee (Sep. 2019 - Sep. 2020)

Please make $10.00 Check for Membership Fees payable to “Glow Community Center, Inc.” and mail out to GCC Music Department 133-29 41st Ave., Flushing, NY 11355

Agreement *

I understand while participating in this activity, I may be photographed. I agree to allow my photo, video, or film likeness to be used for any legitimate purpose by the activity organizers, producers, or sponsors.

I CERTIFY THAT I HAVE READ THIS DOCUMENT AND I FULLY UNDERSTAND ITS CONTENT. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT AND I SIGN IT OF MY OWN FREE WILL.