.......................................APPLICATION

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Please print this form and mail it with the application payment to the address below. Rondo Bennington Music Festival July 1 to July 21, 2007 Application Name: ________________________________________________ Male: _____ Female: _____ Age: _____ Birthday: ________________________________ (mm/dd/yy) Instrument: ____________________________________________ Weeks Attending: 1st___ 2nd___ 3rd___ Requested Teacher: _____________________________________ Are you a current student of this teacher? Yes___ No___ Street Address: _________________________________________ City: __________________________________________________ State, Zip: _____________________________________________ Country: _______________________________________________ Telephone: ____________________ Fax: ____________________ E-mail: ________________________________________________ Mother's Name: _________________________________________ Telephone: ____________________ Father's Telephone: _____________________________________ Telephone: ____________________ Emergency Contact: _____________________________ Telephone: ____________________ I would like to be contact by E-mail: ______ Phone:__________ .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. The weekly payment of $950.00 covers room, board (three meals a day), private lessons, chamber classes and use of College facilities. Application deadline is May 1, 2007. (50% of tuition must be paid after acceptance and the remainder is due June 1, 2007 - Application late fee $25.00) Cancellation deadline is May 15, 2007. (cancellation fee $250.00) *Limited scholarships and indidvidual programs are available. Payment in U.S. dollars to "RONDO FESTIVAL" Mailing Address: Rondo Music Festival 3 Farm Creek Road Rowayton, Connecticut 06853 USA E-mail: rondo1756@aol.com Telephone: 203-853-3574 Fax: 203-854-0744