» Clinic Information Form

Chapman faculty member Daniel Alfred Wachs leads a clinic with Highland High SchoolUse this form only if you have already had your proposed clinic approved by staff at the Hall-Musco Conservatory of Music. It is to supply details specific to the type of clinic you desire.

If need to submit the initial clinic request to ascertain availability of faculty and facilities then please use this Clinic Request Form first.

* indicates a required field

School Information

Alternate Phone Type:

Clinic Details

Preferred Time of Day (check all that apply):
Please select the type of clinic and indicate how many students will participate:
Will you be traveling by bus or other large vehicle?:

Equipment Required

Additional Information

On the day of your clinic, would you be interested in any of the following on-campus experiences? (check all that apply):