INTERHARMONY INTERNATIONAL MUSIC FESTIVAL - Birklehof, 2009
Hinterzarten/Schwarzwald, Germany
		APPLICATION

Please return your completed application form, an audition recording, 
and a non-refundable fee of $60 USD by March 1, 2009 to:
 InterHarmony International Music Festival
 P.O. Box 286252
 New York, NY 10128-0005
 U.S.A.

FIRST NAME: _________________________________________________________

FAMILY NAME: ________________________________________________________

NAME OF A PARENT: ___________________________________________________
	(if under 18 years of age)

GENDER: __Male	__Female

DATE OF BIRTH: ______________________________________________________
	(if under 18 years of age)
    
AGE RANGE: __18-24  __25-34  __35-44  __45-60  __Over 60

ADDRESS: ____________________________________________________________

CITY: _______________________________________________________________

STATE/ZIP CODE: _____________________________________________________

TELEPHONE: __________________________________________________________

EMAIL ADDRESS: ______________________________________________________

INSTRUMENT: _________________________________________________________

No. OF YEARS PLAYING: _______________________________________________

TEACHERS: ___________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________

MAJOR ACCOMPLISHMENTS (if any): _____________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________

STUDENT'S SIGNATURE: ________________________________________________

PARENT'S/TEACHER'S SIGNATURE: _______________________________________
	(if under 18 years of age)

I LEARNED ABOUT THIS FESTIVAL THROUGH: ______________________________
_____________________________________________________________________

0	By signing this application, students and/or parents agree to the 
	conditions indicated in the application Information.

0	Enclosed is my check for US $60, my non-refundable application fee.

0	No, I am not interested in participating at this time, but please
	keep me	informed of future events of this kind.

0	Audition recording is enclosed.