Stax Music Academy Interest Form
Interested in auditioning? Fill out the information below!
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Parent/Guardian First & Last Name *
Email Address *
Student First & Last Name *
Student's Grade Level *
Student's Current School *
Student's Voice Range
Which program are you interested in joining? *
Required
Which ensemble(s) are you interested in joining? *
Required
If your student is an instrumentalist, please list the instrument(s) they play below.
Does your child participate in any extracurricular activities? If so, please list them below. *
Does your child any previous musical experience? If so, please list below. *
Does your child require any special accommodations? *
How did you hear about SMA? *
Student T-Shirt size *
Parent T-Shirt size
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Other thoughts or comments
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