Street: 

  City:  State:   Zip: 

  Phone (XXX-XXX-XXXX):       E-mail: 

  Age:     Applications for participants under the age of 18 MUST be completed by a parent or legal guardian.   

  Street: 

  City:   State:    Zip: 

  Phone (XXX-XXX-XXXX):       E-mail: 

  How long have you played this instrument?

  What school do you attend?

  What is your current age?   

  Do you play in your school's orchestra?

       Yes     No     There is no orchestra at my school

  Please list your current and previous private teacher(s) and the number of yours you studied with that theacher:

  Please list your performing experiences (ensembles, solo performances/recitals, etc.):

  Please list solo pieces you are studying or have recently studied (include composer and/or arranger name):

  Please list pieces you are playing or have recently played in your school orchestra. if you are a violinist, indicate

  first or second violin (include composer and/or arranger name):

  Please list pieces you are playing or have recently played in a chamber ensemble. if you are a violinist, indicate

  first or second violin (include composer and/or arranger name):

  Please list any music awards you have received (including solo/ensemble contest ratings):

Students have the option of taking one ½-hour private lesson with a member of the String Clinic faculty during the week. Lessons will be scheduled before noon on either Tuesday, Wednesday, or Thursday. Students should bring pieces they are currently learning with them to the lesson. There is an additional fee of $21 for the private lesson.

Would you like to receive a private lesson?   Yes, I would like a private lesson.

If yes, list the time(s) you would be available for a private lesson on the following days:

TUESDAY, JULY 10 (before 11am or after 6pm): 

WEDNESDAY, JULY 11 (before 11am or after 6pm): 

THURSDAY, JULY 12 (before 11am or after 6pm): 

FRIDAY, JULY 13 (before 11am or after 6pm): 

Participants in the IU Southeast Summer String Clinic will receive a complimentary t-shirt. Please indicate shirt size desired:

COMPLETE CLINIC (Noon-5:30pm)
Regular tuition for the Complete Clinic is $250.00 plus a non-refundable registration fee of $15 for an individual student or $20 for two or more students from the same family. Registration deadline is June 29 at 4:30pm. Registrations after 4:30pm on June 29 may or may not be accepted, at the discretion of the clinic director and the IU Southeast Arts Institute. Registrations received after 4:30pm on June 29 that are accepted will be assessed an additional $50 fee. In the event the student is not accepted to the IU Southeast Summer String Clinic, a full refund will be issued. In the event the IU Southeast Summer String Clinic is cancelled due to insufficient enrollment, a full refund will be issued. If, after registering, a student withdraws from the clinic, a full refund (minus registration fee) will be issued if the the Arts Institute is notified of the withdraw by June 27 at 4:30pm. Students will receive a 50% refund of the tuition if they withdraw after 4:30pm on June 27 and before July 7. No refunds will be issued on or after July 7.

BREVE CLINIC (3:00pm-5:30pm)
Regular tuition for the Breve Clinic is $100.00 plus a non-refundable registration fee of $15 for an individual student or $20 for two or more students from the same family. Registration deadline is June 29 at 4:30pm. Registrations after 4:30pm on June 29 may or may not be accepted, at the discretion of the clinic director and the IU Southeast Arts Institute. Registrations received after 4:30pm on June 29 that are accepted will be assessed an additional $50 fee. In the event the student is not accepted to the IU Southeast Summer String Clinic, a full refund will be issued. In the event the IU Southeast Summer String Clinic is cancelled due to insufficient enrollment, a full refund will be issued. If, after registering, a student withdraws from the clinic, a full refund (minus registration fee) will be issued if the the Arts Institute is notified of the withdraw by June 27 at 4:30pm. Students will receive a 50% refund of the tuition if they withdraw after 4:30pm on June 27 and before July 7. No refunds will be issued on or after July 7.

Payment may be made by cash, check, money order or credit card. Credit card payments (Visa, MasterCard, Discover, American Express) may be made online via Indiana University's IUpay system (accessible via the String Clinic web site at www.ius.edu/music/ssc, click on "Make a Payment").

Half-payment Option: Participants in the Complete Clinic (Noon-5:30pm) may elect to pay one-half of the tuition with this application, with the balance of the tuition being due by the first day of the clinic. Those participating in the Breve Clinic (3:00pm-5:30pm) must pay the entire tuition and registration fee with the application. Those applying after June 29 must include full amount due with their application.

Select your option:

• PAYMENT INFORMATION

Upon submitting this form, you will be redirected to the IUPay system where you can make a secure credit card payment.

If you wish to pay by check or money order, please download a printable registration form and mail it along with your payment.

If you prefer not to register online, you can download a printable Registration Form to mail in along with your payment. The free Adobe® Acrobat Reader® is required to view and print the form.