Audition for the FAME Jazz Band Program

Student/Applicant Information

• * First Name:
• * Last Name:
• * Age & of Birthdate (Month/Day/Year):
• *

  Gender

  • Male
  • Female
  • Other
• * Grade Level
• * Email Address:
• * Confirm Email Address:
• * Address 1:
• * City:
• * State: --Choose-- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming -------------- Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory
• * ZIP Code:
• * Phone:
• Cell Phone:

• Fee

  Type	Fee
  Event fee	$50.00

• * 1) School Name AND Address
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• * How are you involved in your school's music program?
• * How did you hear about the FAME Jazz Band program?
• * Parent 1 Name
• * Parent 1 Email Address:
• * Parent 1 Phone Numbers:
• * Parent 2 Name
• * Parent 2 Email address
• * Parent 2 Phone Numbers:

• * Audition instrument?
• * Music teacher's name, email, phone number (if applicable):
• * Have you attended other FAME programs? If so, which?.
• * Is either Parent on active military duty? If so, which Branch?