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Piano Legends Masterclass Application

Preliminary Application
Select Masterclass*
- Jerome Lowenthal Masterclass 2/29/2020
- Jerome Lowenthal Masterclass 4/25/2020
Name*
First Last
Date of Birth*
MM
DD
YYYY
Level*
- Intermediary
- Advanced
Music school or professor presenting student*
Repertoire*
Choose your audition type:*
- $25 - Online Video Submission
You can upload a video to YouTube or Vimeo and provide the url in this application.
Paste YouTube/Vimeo Link Here:*
Upload your performance video
Max. file size: 128 MB.
Maximum file size is 128MB.
Contact Information
Mailing Address*
Street Address Address Line 2 City State ZIP Code
Country
Phone*
Email*
Payment
Please allow 2-5 business days for payment processing.
Registration Fees
$25 - Online Video Submission
Submission Type*
Total
$0.00
Credit Card*

American Express
Discover
MasterCard
Visa
JCB
Maestro
Supported Credit Cards: American Express, Discover, MasterCard, Visa, JCB, Maestro
Card Number Expiration Date Security Code Cardholder Name
MC Fees* upon acceptance, the applicant will be required to pay the masterclass fee of $200, payable by check or online. Select participants will each receive a 45-minute open lesson with Mr. Lowenthal. Notification of acceptance will be emailed.

*Two Meet the Artist Luncheon tickets and two professional masterclass photographs are included.
Consent*
I agree with the terms of the 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*

Piano Legends Masterclass Application

Preliminary Application

Contact Information

Payment

Registration Fees