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PERSONAL INFORMATION
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*
Student Name
*
Age of Student
Parents Name
(if applicable)
*
Email
*
Phone
1. What instrument(s) are you interested in learning at Elevate?
Please be specific as this is the instrument you will get scheduled for
. You are welcome to sign up for more than one but please note that each selection is a separate membership.
Please Select....
Glee Choir
Electric Guitar
Acoustic Guitar
Bass
Drums
Keyboard/Piano
Singer/Vocals
2. Have you played your instrument before? If so, for how long?
Please Select....
Never Played
6 months-1 year
1-3 years
3-5 years
More than 5 years
3. Please tell us about yourself (hobbies, activities, likes, dislikes, etc.)
4. Are you Male or Female?
Please Select....
Male
Female
5. What days or times would work best with your schedule?
*
Please give us at least three options if possible.
6. What kind of musical styles or bands do you enjoy listening to?
6. Do you read:
Please Select....
Sheet Music
Tablature
Both
7. Additional Comments or questions? How did you hear about Elevate?
*
What's the answer?
8 - 1 =
Elevate Rock School
4480 23rd Ave S / Fargo, ND 58104
Tel: (701)356.5150
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