Salmon Jam Music Workshop Registration Form
Please complete this form for music workshops hosted by this year's headliner band, the Dan Mac Band, on Saturday, July 13, 2019. Participation in the workshops is FREE to all! Please select one only. The first hour each group will be separate and then come together for the 2nd hour. Recommended age is 10 & up. Workshops will be held at Mt Eccles Elementary School. Please contact Alyssa Kleissler @ 907-253-3633 with any questions. Thank you!
First & Last Name *
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Email *
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Mailing address *
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Telephone *
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First & Last Name of Parents/Guardians (if younger than 18) *
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Emergency Contact Name & Phone
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Age *
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Date of birth
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Workshop enrolling in: *
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I am interested in performing the song together with the other participants on the Salmon Jam stage during Saturday evening's performance. If I play, I know will get free admission to the jam on Saturday night! *
Occasionally we use photos and video on our website, Facebook Page, Instagram and flyers. Do you give permission for us to use pictures or video in this capacity? *
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