Student Enrollment Card
-- Print or Type --
(Be sure to fill in below)

Audition Center
City:______________________________________
State:_____________________________________
Name of Teacher -- Last Name First:
___________________________________________
Street:____________________________________
City:______________________________________
State:_____________________________________
Zip:_______________________________________
Home Phone:(___)___________________________
Work Phone:(___)___________________________
Email Address:______________________________
The address above is:
( ) home address or ( ) studio address

Instructions for Teacher
1. Use a typewriter, if possible, when completing this Student Enrollment Card. If one is not available, be sure to print names plainly since your students' certificates will be filled in from information on the reverse side of this card. Be extremely careful!  Computer-generated lists are acceptable.

2. On the reverse side of this card, list name, number of years as national winner, including this year, classification, number of pieces being entered, and dues of each student being enrolled. In listing classifications use: EA, EB, EC, ED, EE, or EF for Elementary; IA, IB, IC, ID, IE, and IF for Intermediate; PA, PB, PC, and PD for Preparatory; CA, CB, CC, and CD for Collegiate; and YA for Young Artist. To enroll in the Jazz clasification, write a "J" before the classification and number of pieces. To enroll in the Hobbyist classification, write "H" before the classification and number of pieces. To enroll in the Duet classification, write a "D" before the classification and number of pieces. To enroll in the Ensemble classification, write an "E" before the classification. Highlight Duet and Ensemble programs in yellow. Use ES, IS, PS for "special" classifications. Underscore in red all diploma candidates. Underscore in blue all "Special Medal" programs (Bach, Sonatina, Sonata). (Certificate changes, when requested, $10.00 per student. All changes made by phone, fax or email will be charged $25.00 per student.)

3. Collect all student dues and enclose the total student enrollment fees in one money order or check. Mail the single check with this card to American College of Musicians, P.O. Box 1807, Austin, Texas 78767-1807, preferably by February 1. Enrollments received without checks, with unsigned checks, or with post-dated checks will not be scheduled until payment is received.

4. Student enrollment begins December 1. Those enrolling before February 1 may make requests for special times. Please make these requests very brief and enroll as early as possible to increase the likelihood of being assigned your requested dates.

Check Correct Box
( ) Teacher membership dues already paid
( ) Teacher membership dues herewith enclosed

Please Indicate Below Your Choice of Time:
First choice:____________________________
Second choice:___________________________
Times to avoid:__________________________

The scheduling chairperson will endeavor to comply with the teachers' wishes whenever possible. Teachers will not be called by headquarters when their requested dates/times are not available.

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Please Print this page out and mail it to us.
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