TrumpetFest Faculty Application

If you’re interested in joining Orvieto Musica’s TrumpetFest faculty, please complete the application below. Housing in Orvieto is contingent upon receipt by March 1 of full tuition payment for a minimum of 5 students from your studio.

Application

Name*
First Last
Phone (daytime)*
Phone (cell)
Fax (if any)
Email*
Mailing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Name of current employer*
Employer Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Have you traveled to Italy before?*
- Yes
- No
Do you speak Italian?*
- Yes
- No
Full names and email addresses of students who will attend OM TrumpetFest with you*
Accommodation preference*
- Apartment room (kitchen privileges)
- Pensione room (no kitchen)
Orvieto Musica does not guarantee provision of first choice
Full names of anyone traveling with you and the dates of their attendance
Do you have health insurance?*
- Yes
- No
Registration with Orvieto Musica does not include health coverage or insurance.
Signature*

By typing my name in the box above, I certify the above statements to be true and correct, to the best of my knowledge, and that this information can be used for the purpose of processing my application.
Date of application*
MM slash DD slash YYYY
Comments
This field is for validation purposes and should be left unchanged.

After your application has been approved, you will need to complete the following steps, which are required for festival attendance.

Health Insurance Form (due April 20)

Name*
First Last
Email*
Will you have health insurance coverage during the duration of the Orvieto Musica workshop?*
- Yes
- No
If I need medical assistance during that time, the cost will be covered by:*

Please list name of insurance company or responsible party
Health insurance policy number

Please contact your health insurance provider regarding coverage abroad
Address of insurance company or responsible party*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Fax (if any)
In case of emergency, please notify:*
First Last
Emergency contact phone*
Signature*

Typing your name in the box above is the equivalent of your digital signature.
Today's Date*
MM slash DD slash YYYY
Phone
This field is for validation purposes and should be left unchanged.

Payments (due April 20)

Payments may be made via PayPal using the form below. If you prefer not to pay online, you may mail your payment to:

Orvieto Musica, Inc.
3318 N. Lakeshore Drive
Suite #100
Chicago, IL 60657
USA

Name*
First Last
Email*
TrumpetFest Faculty Fee (due April 20) Quantity
TrumpetFest faculty members pay $300 toward their expenses. There is an additional processing fee included here to help cover our PayPal fees.
Price: $309.00
Additional Guests (due April 20) Quantity
The fee for each additional guest (ie. spouse, parent, etc.) is $750 per week. There is an additional processing fee included here to help cover our PayPal fees.
Price: $773.00
Total Payment
$0.00
Additional Details
Are there any additional details we need to know about this payment?
Email
This field is for validation purposes and should be left unchanged.

Arrival Information Form (due May 15)

1) If you would like to be picked up at the Fiumicino airport in Rome by Orvieto Musica personnel, you must arrive prior to the van / bus departure at 2:30 p.m.

2) If you are arriving in Orvieto on your own, please note that Orvieto Musica does not provide accommodations in Orvieto prior to the festival.

Name*
First Last
Email*
Would you like to be picked up at the Fiumicino airport in Rome by Orvieto Musica personnel?*
- Yes, I would like to meet the OM group at the airport in Rome
- No, I will travel to Orvieto on my own
Arrival Date*
Month
Day
Year
Flight Arrival Time*

: Hours

Minutes

AM/PM
What time do you plan to arrive in Orvieto?*

: Hours

Minutes

AM/PM
Airline*
Flight number*
Signature*
Today's Date*
MM slash DD slash YYYY
Name
This field is for validation purposes and should be left unchanged.