Alan Fraser Institute Questionnaire

Alan Fraser Institute Questionnaire

ALAN FRASER INSTITUTE OF PIANO SOMATICS REGISTRATION FORM

JULY 2024 - MIAMI UNIVERSITY, OXFORD, OHIO

Fields with an asterisk * must be filled in.

You are registering for the 2024 Oxford Institute for the following number of full teaching days: *

. . . for which session: *

Prefix: [Mr, Mrs. Miss, Ms, Dr, Rev.]
Name: *
Age *
Email: *
Cell phone number: *
WhatsApp phone number:
Website:
Street Address:
For your parking pass, if needed, would you please provide the following:
Vehicle Make, Model, Year, Color, License Plate number
Emergency contact information:
Name, Relationship, phone number, insurance card number if available

Lodging choice: *

Mode of Travel to Oxford, Ohio::
If air, please provide, when known, your flight information:
CVG or DAY, Airline flight number, arrival time.

Your reasons for attending the Institute and your goals for the sessions?

What repertoire will you be bringing to the Institute? (auditors N/A)

Do you have or have you had a performance injury related to piano playing?
(If yes, please describe.)

Your degree of familiarity with the general ideas in Fraser’s books/DVD.

Your familiarity with the Feldenkrais Method.

What is your musical education/background?

Your performing experience? Teaching experience?

Would you like any of your scheduled lessons to be a pure Feldenkrais Functional
Integration lesson instead of a piano or mixed piano/FI lesson?
(online institutes: N/A)

Do you have any scheduling restrictions? i.e. do you need your lesson to be at a
particular time of day, or will you not be able to attend at certain times?
(online institutes: N/A)

Any other comments, questions or concerns?