Learners Program Application
Name
*
First Name
Last Name
Gender
*
Male
Female
Date of Birth
*
-
Day
-
Month
Year
Date
Address
Parish
Please Select
St. George
St. Andrew
St. David
St. Patrick
St. John
St. Mark
Contact # 1
Please enter a valid phone number.
Contact # 2
Please enter a valid phone number.
Email
*
example@example.com
Do you have any prior experience playing Steel drums?
*
Yes
No
Do you have an idea of the instrument you are interested in playing?
*
Tenor (Soprano)
Double Tenor (Alto)
Double Seconds (Alto)
Double Guitar (Tenor)
4 Bass (Bass)
6 Bass (Bass)
I'm not Sure
Disclaimer
Instruments will be assigned on a first come basis. First choice and or second choice instrument may not always be available.
Are you currently attending a formal educational institution?
No
Yes
If Yes, please state
What is your preferred way to be contacted?
*
Call
Text
Email
Whatsapp
For Parents and Guardians of children 17 years and under
Name of Parent/Guardian
First Name
Last Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Thank you for choosing to be part of our organization, a representative will contact you on the medium you have chosen.
Please verify that you are human
*
Submit
Should be Empty: