Register for a VAM Exam "*" indicates required fields This field is hidden when viewing the formSession NameThis field is hidden when viewing the formRepertoire Change DeadlineThis field is hidden when viewing the formVideo Submission DeadlineStudent InformationStudent's age as of May 1* Age 5-8 (Junior Exam) Age 9-12 (Intermediate Exam) Age 13-16, not graduating high school (Senior Exam) Age 17 OR graduating high school (Advanced Senior Exam) I understand that, in order to be eligible, the student must be registered in VAM private lessons (minimum 16 per term) for the instrument listed on this registration form* Yes, I understand Student Name* First Last Contact Name (Parent)* First Last Date of Birth* DD slash MM slash YYYY Instrument*This field is hidden when viewing the formAdult Learning Exam: Please select which Class you would like to register for Class 1 (prepare two works max. 10 minutes combined, $40 fee) Class 2 (prepare three works max. 15 minutes combined, $50 fee) Class 3 (prepare three works max. 25 minutes combined, $60 fee) Class 4 (45 to 60 minutes of repertoire, $80 fee) Teacher's Name* First Last Teacher's Email* Contact InformationAddress* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Email* Phone*Requirements: Junior Exams (Ages 5-8)Two contrasting solo works with a combined duration of 10 minutes or less.Requirements: Intermediate Exams (Ages 9-12)Three contrasting solo works with a combined duration of 15 minutes or less.Requirements: Senior Exams (Ages 13-16 not graduating high school)Three contrasting solo works with a combined duration of 25 minutes or less.Requirements: Advanced Senior Performer's Certificate (age 17 or graduating high school)25 to 35 minutes of any solo repertoire that the student chooses.Requirements: Adult Learning Class 1Two contrasting works with a combined duration of 10 minutes or less.Requirements: Adult Learning Class 2Three contrasting works with a combined duration of 15 minutes or less.Requirements: Adult Learning Class 3Three contrasting works with a combined duration of 25 minutes or less. Requirements: Adult Learning Class 4A 45- to 60-minute recital that is open to the public and adjudicated by the student's primary private teacher. Repertoire Selection No. 1Repertoire Selection No. 1: Title*Repertoire Selection No. 1: Movement (if applicable)Please include both number and title, e.g, I. AllegroRepertoire Selection No. 1: Composer*Repertoire Selection No. 1: Duration*Repertoire Selection No. 2Repertoire Selection No. 2: Title*Repertoire Selection No. 2: Movement (if applicable)Please include both number and title, e.g, I. AllegroRepertoire Selection No. 2: Composer*Repertoire Selection No. 2: Duration*Repertoire Selection No. 3Repertoire Selection No. 3: Title*Repertoire Selection No. 3: Movement (if applicable)Please include both number and title, e.g, I. AllegroRepertoire Selection No. 3: Composer*Repertoire Selection No. 3: Duration*Repertoire Selections*For each repertoire selection, please include composer, title, and movement/s (if applicable). I give permission for the results of this exam to be published in VAM's Newsletter.* Yes No Fee: Junior Performance Exam* Price: Fee: Adult Learning Class 1 Exam* Price: Fee: Intermediate Performance Exam* Price: Fee: Adult Learning Class 2 Exam* Price: Fee: Senior Performance Exam* Price: Fee: Adult Learning Class 3 Exam Price: Fee: Advanced Senior Performer's Certificate* Price: Fee: Adult Learning Class 4 Exam* Price: Total Credit Card* Cardholder Name Card Details Δ