Homeschool Music Application

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Homeschool Music Program

Homeschool Music Program

Student Information
Student Full Name *
Student Address *
Address 1
Address 2

City

State

Zip
Student Email *
Student Date of Birth *
Student Phone Number *
Grade Level *
Primary Parent/Guardian Information
Full Name *
Email Address *
Phone Number *
Emergency Contact Information
Full Name *
Email *
Phone Number *
Musical Background
Instrument *
Years of Musical Experience *
Previous Performance Experience (list schools, lesson studio performances, or groups) *
Musical Goals (i.e. reason for wanting to join, future plans for instrumental performance, etc.) *
Are you willing to attend all rehearsals and performances? * (1 required)
Yes No
By typing my name below, I understand that acceptance means the student is enrolled as an RCBA student and must comply with all campus policies. *
By typing my name below, I give permission for my child to participate in the RCBA Homeschool Music Program. *
By typing my name below, I understand my child must follow RCBA campus policies and take part in scheduled performances. *