Pacific String Day - Spring 2026

Who is this form being filled out by?*

Participant

Parent

Relation Information

How are you related to the participant?*

Relation First Name*

Relation Last Name*

Relation Email*

Participant Information

What best describes you?*

Participant First Name*

Participant Last Name*

Participant Email Address*

Participant Phone Number*

Participant Birthdate*

Participant Mailing Address*

Country

Street

City

Region

Postal Code

What High School is the participant attending? *
type school name and select from the drop-down list

What year would the participant graduate from high school?*

What school/college is the participant attending? *
type school name and select from the drop-down list

Participant Musical Background

Instrument

Have you taken private lessons?*

Yes

No

If yes, for how long?

Name of Private Teacher*

Email Address of Private Teacher

Would you like to play on the master class?

Yes

No

What piece would you like to perform during the masterclass?

Name one piece that you are currently working on.

By checking this box yes, I hereby grant permission and the rights to use my son/daughter's image, likeness and sound of his/her voice, and any specific quotes, as recorded on audio, video or camera, either digitally or on tape/film ("Material") to University of the Pacific, without payment or any other consideration. I understand that the Material may be edited, copied, exhibited, published, or distributed and I waive the right to inspect or approve the finished product wherein the Material appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of the Material. I also understand that this Material may be used in diverse settings within an unrestricted geographic area.

Yes