Accepted Participant Form – October 2020 RM_StatsPlease Note: this is a final enrollment form. You have been accepted and you are committing to attending the program by submitting this form.Biographical InformationFirst Name *Last Name *Date of Birth *Address Address Line 1 Address Line 2 City State or Region Alabama Alaska Arizona Arkansas Armed Forces America Armed Forces Europe Armed Forces Pacific California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State or Region Country Zip Musician Phone *Musician Email *School *Parent / Guardian Name (if musician is 18 years or younger)Parent Phone (if musician is 18 years old or younger)Parent Email (if musician is 18 years or younger)Please Select Your Instrument *Select an optionViolinViolaCelloDouble BassName of Current or Most Recent Private Instructor *Please Check * I have read and am prepared to comply with the COVID-19 protocols. I understand that purposeful failure to comply with any protocols will result in my immediate expulsion from CIMF. Please Re-Enter EmailEmail *CIMF - Tuition Note: It looks like JavaScript is disabled in your browser. Some elements of this form may require JavaScript to work properly. If you have trouble submitting the form, try enabling JavaScript momentarily and resubmit. JavaScript settings are usually found in Browser Settings or Browser Developer menu.