Step 1: Registration Form


                             
Student First Name                         Student Last Name                                                                                  Age


                Flute Violin Viola Cello Saxophone Trumpet Trombone Baritone Tuba Guitar Drums Bass Guitar                                         
Current School Attending                            Instrument                                   Parent/Legal Guardian Name
 

                                
Address                                      City                                                                                               Zip Code  

                              
Phone Number 1                                       Phone Number 2                                         Email Address                   



Student Skill Level:

Very Beginning (0 - 1 year)       Novice (over 1 year)        Int. (over 2 years)       Advanced (4 - 7 years)