Music Visit Day Form

"*" indicates required fields

Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone*

Email*

Please use personal email address not school email.

Alternate Email

Music Visit Day*

High School/College*

Please enter your Graduation date: M/D/YYYY*

Please indicate Major of interest:*

Extracurricular Interests*

Primary Instrument/Voice*

Would you like to participate in a rehearsal at the event (please select all that you are interested in):

Band

Choir

Jazz Band

Would you like to be considered for a music scholarship (open to Seniors)?

If you selected yes to the above question, please select how you would prefer to audition:

Guests attending with you?

Name*

Relationship*

Name

Relationship