SUMMER Program 2025-26 | One City VanderCook, Chicago

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SUMMER Students Only

One City will not accept any Fall students registration under this form.

One City Summer Lessons Registration Form
2025-26 school year

Parent/Guardian Information

Parent/Guardian's First Name

Parent/Guardian Email

Parent/Guardian Last Name

Parent/Guardian Phone Number

Mailing Address

City

State

Postal / Zip code

I give permission for images and recordings of my child to be used for promotional and fund raising purposes for the One City program, both now and in the future.

Your Signature

Student Information

Student's First Name

Student's Last Name

Student's School

Student's Instrument

Student's Grade in 2025-26 School Year

Student's T-Shirt Size

Emergency Information

Emergency Contact Name(s)

Emergency Contact Number(s)

Please list any medical conditions we should know about your child:

The following information is optional

Having aggregate data is very helpful for One City when we apply for funding from foundations who want to see whom our program serves.

Self-identified race/ethnicity:

Asian/Pacific Islander

Black/African American

LatinX

Native American

White/Caucasian

Other

Answer if checked other

How many people live in your household?

Family Income (correlated with MIT living wage calculator)

Less than $30,920

$30,920 - $107,240

More than $107,240

For SUMMER Students Only

Form submitted. Thank you!
You will receive an email confirmation.
Please do not resubmit the form for the same child.

In case you have not received, try checking spam folders.
If you have not received an email within 1-2 hour, please feel free to reach out at lschuman@vandercook.edu

Contact info

3140 South Federal Street Chicago IL 60616-3731

312-225-6288

lschuman@vandercook.edu

VanderCook College of Music

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One City Summer Lessons Registration Form 2025-26 school year

Parent/Guardian Information

Student Information

Emergency Information

The following information is optional

One City Summer Lessons Registration Form
2025-26 school year