Registration for Mid-Winter Workshop, January 23rd and 24th, 2015

Printable registration form is here. For questions regarding registration, contact Mickey Gillmor. For other Mid-Winter Workshop questions, contact Jorg Voss.

Last Name  
  First Name (as you want it on the badge) 

Street  
  City     State     Zip  

Daytime phone     Evening phone  

  e-mail  

Emergency Contact     Phone #  

Do we need to provide a special Box Lunch for you? If yes, please state what kind (Kosher, Gluten-free, Vegetarian, etc.):  

Fees: Fee options that include all Friday and Saturday activities (including Friday Voices and Viols and flutes), 1 workbook, and lunch on Saturday.
Basic Fee (includes all activities, lunch, and workbook): $120 $
   AEMA or ARS-Atlanta Members, subtract -$20 $
Music fee, for registration after November 30th  ☑   +$20 $20
Late registration fee, after Dec. 31st   NA  +$20 $
   - or -
Scholarship recipients (workbook and lunch) +$20 +$6 $
   - or -
Workshop Committee Member +$50 $
Fee option for participating only in Voices and Viols or flute on Friday; no workbook, no Saturday activities, and no Saturday lunch. These activities are included in the above fees so do not check this if you check one of those.
Friday Only (Voices&Viols / Ren. flutes) +$20 $
   AEMA or ARS-Atlanta Members, subtract -$10 $
If you would like to purchase additional workbooks, indicate how many here.
Extra Workbooks x $ 20 $
  ___________________
Total due for the workshop $

If paying by check, please make your check payable to: Atlanta Early Music Alliance or AEMA.

... and mail it to: Mickey Gillmor (Registrar); 947 Blue Ridge Ave., Atlanta, GA 30306-4416.

Include name(s) of registrant(s) with the check.

To receive early registration discounts, check must be mailed and postmarked prior to the "Music Fee" or "Late Fee" dates.

New this year! AEMA will also accept payment by Paypal. You will be presented with the option to pay by Paypal after successfully registering. To cover the costs of Paypal fees, a surcharge equal to the Paypal fee will be added to your total when you use Paypal.


Self-Evaluation *(1 = advanced, 5 = novice)

Years of active musical experience (instrumental , vocal ); Primary Instrument  

I also want to play my secondary instrument:

 

I'd like to sing Friday evening Yes    No    Please indicate your range and proficiency (1-5)*:

Soprano
Alto
Tenor
Bass

 

Recorders: Please rate proficiency on each from 1-5*:

Soprano
(treble clef)   Treble Clef
Alto
(treble clef)  Treble Clef
Alto
(treble clef
up an octave)  Treble Clef
Tenor
(treble clef)  Treble Clef
Bass
(bass clef)  Bass Clef

Others you will bring:

Sopranino
(treble clef)  Treble Clef
Great Bass
(treble clef)  Treble Clef
Great Bass
(bass clef)  Bass Clef
Contrabass
(bass clef)  Bass Clef
Contrabass
(bass clef
up an octave)  Bass Clef

 

Other Wind instruments you will bring and play:

 

Viols: Rate proficiency on each from 1-5*:

Treble
(treble clef)  Treble Clef
Tenor
(treble clef)  Treble Clef
Tenor
(C clef)  C Clef
Bass
(bass clef)  Bass Clef
Bass
(C clef)  C Clef
Violone

 

Harps: Which type of Harp will you bring:
    Please rate your playing skill, from 1-5*

 

Other String Instruments you will bring?

 

ALL: Rate your proficiency on each 1-5* regarding:

Rhythm
Sightreading
C clefs   C Clef
Familiarity with
Renaissance notation

 

Is there anything else you would like to mention with your registration?