Teen Jamz at MEPAA Music Center
Class Description: Experiment with a variety of instruments including drums, guitar, bass, keyboards, ukulele, vocals and more. No experience needed - all genders welcome - play your favorite songs with peers and professional music mentors.

On going program, cost is $15 for drop-in or $120 for Winter Term

-Age Range: 13 - 19 years old, exceptions to age based on skill level

- Time: Wednesdays, 4:00pm - 5:30pm

- Winter Term is 01/08/2020 - 03/18/2020

- Where: MEPAA Music Center - 855 W 1st Ave, Eugene, OR 97402
When you enter through the front door, you want to go right and head up the stairs to the upper level
Email address *
Parent/Guardian Name *
Your answer
Mailing Address *
Your answer
Participant's Name *
Your answer
Participant's Date of Birth *
Your answer
Best Day Time Phone Number *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone Number *
Your answer
Any allergies or medical conditions we should be aware of? *
Your answer
Musical Experience? Not required, we're just curious.. *
Your answer
Anything else we should know about the participate? Just to let you know, we are up a flight of stairs. *
Your answer
Music Education & Performing Artists Association (MEPAA) will admit students of any race, color, gender, national and ethnic origin to the rights, privileges, programs, and activities generally accorded or made available to students at the Music Center. It does not discriminate on the basis of race, color, gender, national and ethnic origin in administration of its educational policies, admissions policies, scholarship programs, and other school-administered programs.Access to restrooms that correspond to gender identity is available. A person shall not be required to use a restroom that is incongruent with their gender identity. Single-stall bathrooms are available on site. *
MEPAA events may be filmed or have photographers on site. By signing this form you are authorizing us to capture the event and to use any resulting media for organizational marketing purposes. *
Tuition is due at the time of registration and will hold your spot in class. Tuition is not prorated for any missed days. Tuition is non-refundable unless the class is cancelled by MEPAA. You will receive a confirmation email on the completion of this form with our PayPal link for payment. Please contact us at Mepaa.org@gmail.com if you need financial assistance. *
In consideration of the right to participate in this activity, I release any and all claims for damages and losses suffered by me or my minor child as a result of said participation against Music Education & Performing Artists Association (MEPAA), and agents thereof. I further understand there are risks inherent in this activity and agree to assume those risks on my behalf or on the behalf of my minor child and to hold harmless Music Education & Performing Artists Association (MEPAA) and its agents. This release is to be signed upon registration (online or in writing). *
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy