THE MUSIC HOUSE AFTERSCHOOL
[ APPLICATION ]

Name *

First Name

Last Name

Phone

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Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Which term are you applying for? *

Month-Long Pass (4 Classes)

Full-Length Semester (12 Classes)

Area(s) of Interest

Audio Engineer

Music Producer

Recording Artist

Musician

Music Marketing

Music Business

I am interested in pursuing a career in music.

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

Emergency Contact *

First Name

Last Name

Emergency Contact Phone Number *

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