2023-24 Music Instruction Registration

Student's First & Last Name *

First Name

Last Name

Date of Birth *

MM

DD

YYYY

Do you currently participate in music instruction at school?

Yes

No

Do you currently participate in band at school?

Yes

No

Do you currently take any private music lessons outside of school?

Yes

No

Have you attended the BAAMS Summer Jazz Band Day Camp before; which year(s)? *

(Check ALL that apply.)

Have not attended yet.

2023

2022

2020

2019

2018

Parents' Mailing Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Parents' contact phone *

Country

(###)

###

####

How did you hear about the After-School Program?

My sibling

My family

My Band teacher

An article in the newspaper

An article on iBerkshires

A Facebook post

An Instagram post

An advertisement

Word of mouth