Student Registration

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Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Layout

School Name *

Email *

Date of birth *

What is your shoe size ?

Graduate High School *

Phone *

Age *

What is your T-Shirt size ?

Relationship to Participant (Fill out if under 18) *

Please mention Relationship to Participant

Parent/Guardian Name *

First

Last

Layout

Phone *

Email *

What is your current music experience ? *

How will this experience help you with your goals? *

What are your music interests ? *

Mention Instruments

What is your favorite music genre? (Check all that apply) *

Other Music genre

How did you find out about us? *

EN