Northern Lights Music Festival

Application Form

Name___________________________________________________________

Address_________________________________________________________

City_________________ State_______ Zip_____

Country___________

Date of Birth________________________

Name of Parent/Guardian (if applicable)______________________________

Home Phone______________ Mobile Phone_________

Email Address______________________________________

Instrument_______________________

Current Teacher________________________________________________

Choice of Teacher at NLMF______________________________________

Recent Solo Repertoire__________________________________________

________________________________________________

Chamber Music Experience______________________________________

Application Fee: $75 Make checks payable to NLMF

Application Deadline: April 28, 2008

Please include a tape of any work that reflects your technical and musical level.

Mail to : Veda Zuponcic

111 Munn Lane

Cherry Hill, NJ 08034