Name of Student (required)

Student's Email (required)

Legal Guardian

Guardian's Email (required)

Address

Guardian Address (If different from student's)

Guardian Phone Number (required)

Student Phone Number (required)

Which Instrument do you play?

School (required)

School District(required)

School Instrumental Teacher (required)

Grade as of September 2020 (required)

Age (required)

Do you take private lessons? (required)

If yes, please list the name of your private teacher.

Private Teacher Email

How long have you played? (required)

Do you want to be considered for merit-based scholarship?

Do you want to be considered for need-based scholarship? (We will contact you directly to discuss our options)

Please enter a link to your solo video for proper placement in a class.