2019 ASGM Application
In addition to completing this form, please submit your $25 registration fee.
Mail your check or money order made payable to ASGM to:
Betty Holcomb
Alabama School of Gospel Music
1140 Co Road 837 Boaz, AL 35957
Email address *
First Name *
Your answer
Last Name *
Your answer
Middle Initial *
Your answer
Name you prefer to be called:
Optional
Your answer
Birthdate *
MM
/
DD
/
YYYY
Parent Name or Legal Guardian
For children under 18 only
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Age *
As of June 2, 2019
Your answer
Telephone Number *
Your answer
Gender *
Type of Student *
Accomodation *
Roommate Preference
optional
Your answer
Attendance *
Private Lessons *
You may select more than one answer.
Required
If you are enrolling in Private Lessons and have a preference for teachers, please list:
Your answer
Are you a High School Graduate? *
If no, what is the highest grade completed?
Your answer
Are you a College Graduate? *
T-Shirt Size *
A copy of your responses will be emailed to the address you provided.
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