Senior Musicians' Day Online Registration

 
* Required information
Name: *
Street Address: *
City: *
State: *
ZIP Code: *
Home Phone: *
Cell Phone:
E-mail Address:
High School: *
Graduation Year: *
15 minute lesson (1st choice):  piano    organ    voice    woodwind    brass    percussion  
15 minute lesson (2nd choice):  piano    organ    voice    woodwind    brass    percussion  
If voice, please specify vocal part:
If woodwind, please specify instrument:
If brass, please specify instrument:
If percussion, please specify instrument:
I am planning to major in music:  yes    no    maybe  
I would like to schedule a music scholarship auditon for November 13:  yes    no    maybe  
I will need lodging Wednesday night:  yes    no  
I will need lodging Thursday night:  yes    no