Rock Band Interest Form
Fill out to inquire about joining an ANMS band!
Student Full Name
*
First Name
Last Name
Instrument
*
Birthday
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Email - Please list Parent/Guardian if student is under 18 years
*
example@example.com
Phone Number - Please list Parent/Guardian if student is under 18 years
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Caregiver Name (if applicable)
First Name
Last Name
Proficiency Level
*
Please Select
Beginner
Beginner/Intermediate
Intermediate
Intermediate/Advanced
Advanced
Have you had private lessons before?
*
Please Select
Yes
No
If yes, how long?
Would you be interested in playing a secondary instrument?
*
Please Select
Yes
No
If yes, what instrument?
Have you ever played in a band before?
*
Please Select
Yes
No
If yes, how long?
Availability
*
Monday AM
Monday PM
Tuesday AM
Tuesday PM
Wednesday AM
Wednesday PM
Thursday AM
Thursday PM
Friday AM
Friday PM
Saturday AM
Saturday PM
Please list your availability (e.g. Monday 9-11 am, Thursday 5-8 pm)
*
Collaboration Preference
*
Please Select
Prefer to collaborate with musicians of the same proficiency level
Open to collaborating in mixed-level groups
Please share anything that would be useful for our team to know as we match you with the perfect band (e.g. experience level, preferences, language preferences, learning style, etc.)
*
Submit
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