Music: Request Information

Last Name
First Name
Middle Initial
Address
City
State
Zip
Telephone
Email
School most recently attended
Please select your level
Please select your primary instrument or voice
Please indicate how many years of private lessons you have had on your primary instrument/voice:

Please check the music curricula in which you are interested:	Music Education Music Minor

Term you wish to enroll

I am interested in all of the following ensembles:	Golden Eagle Marching Band Symphonic Band and/or Wind Ensemble Jazz Band Concert Choir Chamber Singers Orchestra Brass Ensemble/Brass Chamber Ensembles Percussion Ensemble/Percussion Chamber Ensembles Woodwind Chamber Ensembles Other Ensemble (please specify):