MARIN ACADEMY SUMMER MUSIC 2017
This is the registration form for the program. After submitting it, you'll receive a contract via email within a few weeks. Any questions? Contact Bob Schleeter: bschleeter@ma.org

THE THIRD SESSION (JUNE 26-29( HAS BEEN CANCELLED. SPACE IN THE OTHER TWO SESSIONS IS LIMITED, SO PLEASE RESPOND SOON IF YOU'RE INTERESTED.

Student's Last Name *
Your answer
Student's First Name *
Your answer
Entering what grade next fall? *
Your answer
Primary Instrument, including voice *
Your answer
Years of experience *
Your answer
Secondary instrument(s)
Your answer
Student email *
Your answer
Parent's last name *
Your answer
Parent's first name *
Your answer
Parent email *
Your answer
Phone number *
Your answer
Emergency contact *
Your answer
SESSIONS *
Which 4-day session(s) are you interested in?
Required
MUSICAL INTERESTS - Classic Rock *
What term best describes your level of interest?
MUSICAL INTERESTS - Alt rock, grunge *
What term best describes your level of interest?
MUSICAL INTERESTS - Soul and funk *
What term best describes your level of interest?
MUSICAL INTERESTS - Blues and blues/rock *
What term best describes your level of interest?
MUSICAL INTERESTS - Acoustic music/folk *
What term best describes your level of interest?
MUSICAL INTERESTS - Reggae *
What term best describes your level of interest?
MUSICAL INTERESTS - Jazz (swing, Latin, funk) *
What term best describes your level of interest?
MUSICAL INTERESTS - Originals and songwriting *
What term best describes your level of interest?
MUSICAL INTERESTS - Pro Tools and production *
What term best describes your level of interest?
Where did you hear about MA Summer Music *
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