First + Last Name *

First Name

Last Name

Role *

Please check all that apply.

Adult Student

Parent/Guardian of a Student

Phone *

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What instruments and experiences are you interested in?

Please check all that apply.

Singing/Voice

Guitar

Piano/Keys

Drums

Bass

Ukulele

Private Lessons

Group Lessons

Play In A Band

DJ/Electronic Music

Recording Sessions

Songwriting

Something Else