AMPlified Mentorship Program Form
This is a brand new course that AMP is offering to intermediate musicians that would like to play in a band. You will be instructed by our very own AMP Alumni for 6 weeks. 
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Email *
Parent(s) Name *
Parent(s) Email *
Parent(s) Phone Number *
Student(s) Name *
Student(s) Age *
Student(s) Phone Number *
What Instrument Do You Play? *
How long have you been playing your instrument? *
How would you describe your skill level *
Have you played in a band before? *
Choose your audition time. Round one is October 4th. We ask that you prepare your favorite song, and would love to hear an original or improvised piece. *
The course is October 18th through November 22nd from 3:30-6:30pm. Will you be able to attend the full six weeks. *
The price of the course is $600 ($100 per week). You will receive a link directing you for registration and payment. Please inform us if you may require financial assistance. We can not guarantee assistance, but can offer ways to help raise funds. Please click "yes or no" if you would be seeking assistance or not. *
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