Young Artists Piano Program Application - Kirov Academy of Washington D.C.

Name*

First Last

Date of Birth*

Level*

Grade*

Music school or professor presenting student*

Repertoire*

Upload your performance video

Accepted file types: avi, flv, m1v, m2v, m4v, mkv, mov, mpeg, mpg, mp4, webm, wmv, Max. file size: 128 MB.

Maxumum fixe size is 128MB. Allowed file types are: .avi, .flv, .m1v, .m2v, .m4v, .mkv, .mov, .mpeg, .mpg, .mp4, .webm, .wmv

Upload your resume

Accepted file types: pdf, Max. file size: 3 MB.

Maximum file size is 3MB and allowed file type is .pdf only.

Mailing Address*

Street Address Address Line 2 City State ZIP Code

Phone*

Email*

Consent*

I agree to the terms of Kirov Academy of Music.

The Kirov Academy of Music reserves the right to make photo, audio and/or video recordings at any time during the course or
performances and to use such recordings for any purposes. Participation in the Kirov Academy of Music constitutes a waiver of all claims and fees for broadcast of any photographic, audio and video content.

Typed signature of applicant or parent/legal guardian for students under 18 years old*