Zeltsman Marimba Festival 2017 - Registration Form
Please fill in as many answers as possible. Thanks!
Nickname? (another name you are called, if any)
Address Line 2
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Bosnia and Herzegovina
British Indian Ocean Territory
Central African Republic
Democratic Republic of the Congo
Republic of the Congo
Papua New Guinea
Saint Kitts and Nevis
Saint Vincent and the Grenadines
Sao Tome and Principe
Trinidad and Tobago
United Arab Emirates
United States Minor Outlying Islands
Virgin Islands, British
Virgin Islands, U.S.
Is that a cell phone that will work during ZMF?
I am male (man)
I am female (woman)
Musical background/goals - Please give us an idea of your past musical experiences. (Please answer with a brief statement; no need to send a CV.) You might include: schools/festivals where you’ve studied; current/past teachers; performance experience (solo, chamber, large ensembles); other instruments or subjects you’ve studied. What are particular interests and goals within the field of percussion, and in music? Lastly, how did you hear about ZMF? – from friends, Facebook, your teacher, PAS, other?
Brand of marimba - Do you prefer to play on a particular brand of marimba?
Mallet ensemble experience - What are some mallet ensemble pieces you have studied or performed? What types of pieces do you enjoy?
Private lessons - Please indicate 2 to 5 preferred teachers for private marimba lessons, or for ensemble coachings. Requests will be honored in the order they are received. (See below.)
Jack Van Geem
Any comments about teacher preferences?
Your repertoire - Please list 2 to 4 solo (or duo) pieces you plan to be working on during ZMF. This can change, and there’s no need to update us. (It lets us know some of your interests.)
Bringing a marimba?
If you are able to drive to ZMF and bring a marimba, please let us know what brand and size it will be. (If you can bring more than one instrument, great! Please list them all.) Please indicate if the frame is height-adjustable, or what the fixed height is. Please indicate if the keyboard is not rosewood, has tuning issues, or has narrow bars.
Home town - Regardless of where you live currently, what city and state or country do you consider “home”? It could be where you grew up, or where you feel settled now (for example, “Kyoto, Japan”; “Salt Lake City, UT”). This is for concert programs.
My home town is:
Any other information you would like to share that might help ensure your comfort at ZMF? For instance, do you have dorm roommate requests? Do you have any special dietary needs or preferences, allergies, or medical issues? Would you perhaps need a translator (for Japanese, Mandarin, etc.)? Do you have any questions or concerns of any kind? (This will be read by ZMF staff only.)
Please think carefully about which day you prefer to arrive (& remember this when you book plane tickets, etc.). The first ZMF event is a concert on Sunday, July 2 at 7:30 pm, with a pre-concert talk at 6:45 pm.
Please note: A $35 fee will be charged if you change this later.
I will arrive on Saturday, July 1 (between 11:00 am to 6:30 pm)
I will arrive on Sunday, July 2 (between 9:00 am to 5:00 pm)
I will be arriving by air travel to Newark Airport (EWR). I understand ZMF will later advise/assist me with travel between EWR & Rutgers University.
I will be arriving by car. Someone will be dropping me off. Later, I will provide ZMF an approximate arrival time (within a 2-hour window).
I will be driving there myself. I understand that parking is included in the cost of Housing, or the daily Commuter Rate.
ADD UP YOUR COSTS
TUITION IS $1435. Enter that amount in the first box.
PAST PARTICIPANT DISCOUNT:
- $150 If you attended ZMF (or ZMF On Tour) in the past.
Enter "-150", if applicable; or "0".
Enter the total amount of discounts:
- $200 for bringing a 5-octave marimba;
- $150 for a 4.5- or 4.6-octave marimba; &/or
- $100 for a 4.3-octave marimba (or vibraphone).
Enter the total amount of discounts that apply in this box (e.g. "- 200"; or "0").
Enter the appropriate amount for your choice:
+ $686 for a shared room (14 nights: check-in on July 2; check-out on July 16)
+ $980 for a single room (14 nights: check-in on July 2; check-out on July 16)
+ $126 Commuter Rate (if choosing to live off-campus)
Note: If needed, parking and internet access is included within each amount.
Enter one of these amounts in this box (e.g. "+ 686").
If you wish to arrive on Saturday, July 1, please add:
+ $49 for one extra night in a shared room -OR-
+ $70 for one extra night in a single room
Enter one of these amounts, if applicable (e.g. "+ 49" or "0").
+ $474 for 3 meals per day, for 12 days: 9 days provided by Rutgers University Meal Service & 3 days + 1 dinner catered by ZMF (This is required for anyone staying on campus.)
Enter "+ 474" (unless you will commute and wish to take care of all meals on your own).
OTHER (if applicable):
Enter your total amount due in the box below.
Note: Depending on your method of payment, you may incur a service fee.
If you will pay in full, skip to Acknowledgment and Release.
(Otherwise, please continue ... you're almost done!)
SUBTRACT A DEPOSIT AMOUNT:
Your registration is complete once ZMF receives a minimum $300 deposit (that is non-refundable). We suggest you pay this as early as possible to guarantee your spot. A larger initial deposit is also fine. Registrations/deposits will be accepted until May 7, 2017.
If you will begin by paying a deposit, enter that amount in this box (e.g. "- 300").
Enter in the final box, below, the amount of your balance due after paying your deposit.
Your remaining balance is due by June 1, 2017.
Acknowledgment and Release (Required)
I hereby certify that I am 18 years of age or older (or will be 18 by July 2, 2017). I acknowledge that participation in Zeltsman Marimba Festival (ZMF) may entail working with, moving, lifting or otherwise interacting with heavy instruments and equipment and participating in potentially stressful events, and that these activities may expose me to the risk of physical and emotional injury, whether caused by myself or third parties. I hereby release and waive any claims I may have or acquire against Zeltsman Marimba Festival, Inc., its officers, directors, employees, agents, volunteers, advisers, insurers or others acting on its or their behalf, arising out of or related to my participation in ZMF for which I have registered. This release covers, among other things, claims arising from personal injury, property damage, emotional distress, and dignitary injuries of all types, whether recognized at common or statutory law or at equity, and will be effective to the fullest extent permitted by law.
By checking this box, I agree with the above.
Do Not Fill This Out