Music Registration Form

Music Registration Form
Full Name*

First NameLast Name
Email*
example@example.edu
T-shirt Size*
What high school do you attend?*
What year will you graduate?*
What is your principle instrument or voice part?*
Are you interested in attending or learning more about UMHB? *
What degree program/s are you interested in? *

Registration Fee*

Registration Fee

$25.00

Total

$0.00

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year
Billing Address
Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Should be Empty: