preAMP 2019 - Registration
pre AMP 2019 is a 3-day music camp for Coachella Valley students entering 3rd-5th grade. This program is open to young musicians who have never played an instrument and beginner musicians — no experience necessary!

Wed July 31 — Fri Aug 2
9am-12pm
Hope Lutheran Church (Hope Center) — Palm Desert, CA 92260
$30 per student
Showcase on Friday, August 2nd at 6pm

Read about preAMP in detail: http://ampcv.org/preamp

MUSICIAN INFO
As part of the registration process, we are asking you to please fill out all information requested if possible. This will be kept confidential with AMP leadership.
First Name *
Your answer
Last Name *
Your answer
Musician Email *
Your answer
Age
Your answer
Home Address
Your answer
School
Your answer
Elementary School Promotion/Graduation Year *
AUDITION INFO
Do you have experience playing an instrument?
If so, tell us about your musical experience
Your answer
What music classes, lessons, or camps have you taken part in?
Your answer
Do you have any comments or questions?
Your answer
How did you hear about preAMP?
Your answer
PARENT/GUARDIAN CONTACT INFO
As part of the registration process, we are asking you to please fill out all information requested if possible. This will be kept confidential with AMP and Hope Lutheran leadership.
Guardian #1 Name *
Your answer
Guardian #1 Email *
Your answer
Guardian #1 Phone
Your answer
Guardian #2 Name
Your answer
Guardian #2 Email
Your answer
Guardian #2 Phone
Your answer
Best way to contact Guardian
EMERGENCY / MEDICAL INFO
As part of the registration process, we are asking you to please fill out all information requested if possible. This will be kept confidential with AMP and Hope Lutheran leadership.
Emergency Contact Name
Your answer
Relationship to Musician
Your answer
Emergency Contact Phone
Your answer
Emergency Contact Email
Your answer
Allergies? (Musician)
Your answer
Medical Conditions that AMP should know about? (Musician)
Your answer
Thanks!
We have limited availability, so we will email you your status once you have submitted your information. We will keep a waitlist for those who submit once we've passed our capacity. Thank you for submitting!
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