STAX Music Academy Interest Form

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STAX Music Academy Interest Form

Are you a middle/high school student who sings? Or plays an instrument? Are you interested in joining an elite after-school music program? Complete all required parts to be considered.

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* Indicates required question

Email *

Your email

Student's FIRST Name *

Your answer

Student's LAST Name *

Your answer

What instrument does the student play? (Vocalist, Drum Set, etc.) *

Your answer

Name of school student attends? *

Your answer

What grade is the student in? (as of Aug. 2023) *

Your answer

Guardian's Name
*

Your answer

Guardian's Email *

Your answer

Guardian's Cell Phone *

Your answer

Would you like to sign up for our email list? *

Yes

No

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