Register for El Sistema Summer Academy

New or Returning Student*

New Student: I have not participated in Longy's Side-by-Side nor the Summer Academy
Returning Student: I have attended either Longy's Side-by-Side or Summer Academy in the past and I can't wait be back!

Placement Video Format*

All new students will need to submit a placement video to help the artistic directors place students into the appropriate ensemble. Students who have already participated in either the El Sistema Summer Academy or in any seasons of Longy’s Side-by-Side program do not need to submit a video. Please submit a video that includes a scale (multiple octaves preferred) and a short solo piece.

File Upload: I would like to upload my placement video
URL: I would like to share my video through GoogleDrive, YouTube, OneDrive, etc

File Upload*

Max. file size: 32 MB.

URL*

Which ensemble(s) was this student part of?*

Student Information

Student's Name*

First Last

Student's Preferred Name/Nickname

Student's Date of Birth*

Student's Preferred Pronouns*

They, them, theirs
She, her, hers
He, him, his
Call me to discuss

Student's Personal Cell Phone

Is it ok to text student at number above?

Yes
No

Student's Email*

This is the email that will receive daily schedules and Zoom access links.

Proof of Vaccination*

Please upload a photo of this student's vaccination card. Only fully vaccinated students are allowed to participate in Longy programs.

Accepted file types: jpg, jpeg, jpejif, jfif, jfi, png, tiff, tif, pdf, , Max. file size: 50 MB.

Is this student Hispanic or Latino?

Not required

Yes
No

Race

Select one or more, as applicable.

American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White

Student's Primary Language*

Student's Secondary Language

Student's Sistema or School Music Program*

Boston String Academy
Kids 4 Harmony
El Sistema Somerville
Conservatory Lab Charter School
Youth and Family Enrichment Services (YoFES)
Cambridge Public Schools
Boston Public Schools

Student's Daytime School for 2020-'21 School Year*

Please enter the student's elementary, middle, or high school they will attend for the 2019-20 school year. (This is not the student's music program)

Students Grade level in 2021-'22*

Student's Instrument*

When did the student begin playing this instrument?*

Please enter an approximate date

Students Location, August 1, 2021*

City State / Province / Region ZIP / Postal Code Country

Student's T-Shirt Size

Does this student participate in the National School Breakfast and Lunch Program for Massachusetts?

Yes
No

Are there any physical, emotional, intellectual, or social challenges this student faces that you would like to bring to the attention of staff and faculty?

Liability Policy*

To the fullest extent permitted by law, I, the legal guardian of this student, shall defend, indemnify and hold harmless Longy School of Music, its trustees, directors, officers, employees and agents, from and against all losses, claims, suits, actions, damages and expenses (including attorneys’ fees), arising from (Contracted Party) breach of this Agreement, or (Contracted Party) acts or omissions in performing services under this Agreement, except solely to the extent such Claim is directly and proximately caused by the negligence or willful misconduct of Longy School of Music.

I agree to the liability policy.

Audio and Image Recording Policy Consent*

By registering to participate in musical activities at Longy, you grant Longy School of Music of Bard College, and those acting on its behalf, the authorization to:

Record all students' participation and appearance on video media, audio media, film, photograph, livestreaming, or any other medium.

Record all students' work, including musical compositions, on video media, audio media, film, photograph, livestreaming or any other medium.

Use all students' names, likenesses, voices, and biographical materials in connection with these recordings.

Exhibit or distribute such recordings in whole or in part, without restrictions or limitations, for any educational or promotional purpose which Longy School of Music of Bard College and those acting on its behalf deem appropriate.

Students who may have commitments to any other person or entity which would conflict with the rights granted above are responsible for informing the school in writing of these relationships at the time of registration.

You agree that all rights in and to any and all recordings made of student's performances at Longy School of Music of Bard College, including all video media, audio media, film and photographs, shall be owned exclusively by Longy School of Music of Bard College.

I consent to the audio and image recording policy.

Parent/Legal Guardian Information

Name*

Prefix First Last

Email*

First Student Registered*

Is this the first student you are registering for Longy's Summer Academy, 2022?

Cell Phone

Text OK?

May we use the number above to communicate via text messages?

Yes
No

Home Phone

Work Phone

Primary Language

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Second Parent/Legal Guardian Contact Information*

Would you like to enter information for another parent or legal guardian?

Parent/Legal Guardian 2 Contact Information

Name

Prefix First Last

Cell Phone

Ok to Text

Is it OK to text the number above with information about the Side-by-Side Season, reminders, and updates?

Yes
No

Home Phone

Work Phone

Email

Primary Language

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Non-Parent Emergency Contact (NPEC)

Please provide contact information for one non-parent/legal guardian emergency. This person will only be contacted once all other parental contact information has been tried.

Name*

Prefix First Last

Relation of NPEC to Student*

Primary Phone*

Secondary Phone

Comments

This field is for validation purposes and should be left unchanged.