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Student Information

Student Name(Required)

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Student Email(Required)

This e-mail will be used to create your school account

Student Phone(Required)

Student Date of Birth(Required)

MM slash DD slash YYYY

Name of School Attending(Required)

Grade in School(Required)

Please enter a number from 1 to 12.

Address(Required)

Street Address Address Line 2 City State ZIP Code

Parent / Guardian Information

Parent / Guardian Name(Required)

First Last

Parent / Guardian Email(Required)

Enrollment Options

Would you like to participate in the certificate program?(Required)

Yes

No

Certificate Program Career Track(Required)

Contemporary Songwriting

Vocal Performance

Hip Hop Hitmaker

Audio Production

Music Business

Not sure (we will contact you to discuss the best option for you)

Do you play an instrument?(Required)

Yes

No

What instrument(s) do you play?(Required)

Please describe how music plays a role in your life(Required)

What is your level of interest in the Music Business as a Career?(Required)

Which genre are you most interested in?(Required)

Pop

R&B

Hip Hop

Country

Alternative

Rock

Indie

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