Northern California Flute Camp Application

Attach additional sheet if necessary. This form may be photocopied.

Name ____________________________________________________________________ Sex [ ] M  [ ] F

Address ________________________________ City _____________ State ___________ Zip ________

Home Phone (    ) _________________ Email Address (if applicable) ________________________

Date of birth __________________________ Age you will be as of 7/22/00 ___________________

Parent/Guardian Name _____________________________________ Work Phone (     ) ____________

2nd Parent/Guardian Name __________________________________Work Phone (     ) ____________ 

Grade entering next fall ________  Years studied privately ______

Name of Private Teacher __________________________________________________________________

Address & phone number of private teacher ______________________________________________

___________________________________________________________________ (     ) ______________

Do you play piccolo?  [ ] Yes  [ ] No

List at least 3 etudes or solo pieces that you have worked on in the last year. Include 
composer and title:

__________________________________________________________________________________________

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Do you currently play in an ensemble? (Band, flute choir, orchestra, etc.) [ ] Yes  [ ] No

If yes, describe: ________________________________________________________________________

If no, have you ever played in an ensemble? ______________________________________________

If yes, describe: ________________________________________________________________________

List any concerts, festivals, recitals, etc., in which you have performed in the last year:

Performance(s) with Date(s)_______________________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________


Have you ever performed in or audited a flute master class? [ ] Yes  [ ] No

If yes, which one?  Teacher ___________________________________ Date _____________________

Have you ever attended a camp? [ ] Yes [ ] No 

How many hours do you practice each week? _______

Why do you want to attend NCFC?

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Student Signature _______________________________ Parent Signature _______________________