EIW Sign-Ups

1
Name (Nombre y Appelido)* This field is required.
First Name
Last Name
2
Pronouns (she/her, he/him, they/them, etc.)* This field is required.
3
Email* This field is required.
example@example.com
4
Phone Number (Número de Telefóno)* This field is required.
Please enter a valid phone number.
5
Date of Birth (Fecha de Nacimiento)* This field is required.
Date
Year
Month
Day
6
Please select your instrument.* This field is required.
01 Woodwinds Piccolo
02 Woodwinds Flute
03 Woodwinds Oboe
04 Woodwinds Clarinet
05 Woodwinds English Horn
06 Woodwinds Bassoon
07 Brass Trumpet
08 Brass French Horn
09 Brass Trombone
10 Brass Tuba
11 Percussion
13 Saxophone Alto
14 Saxophone Tenor
15 Saxophone Baritone
7
Years Played (Ańos Que Lleva Tocando)* This field is required.
Less than 3 years (Menos de 3 ańos)
3-5 years (3-5 ańos)
5-10 years (5-10 ańos)
10+ years (10+ ańos)
8
Ability to Sight Read Music (Lectura Musical a Primer Vista)* This field is required.
I can't sight read, but can play by ear (No puedo leer a primer vista, pero puedo tocar de oído)
Fair (Justa)
Very Good (Muy Buena)
9
How did you hear about us? (¿Cómo se enteró de nosotros?)* This field is required.
10
Notice of Filming and Photography* This field is required.By joining the Eisner Intergenerational Ensembles, you consent to be photographed, filmed, and/or otherwise recorded and to the release, publication, exhibition, or reproduction of any and all recorded media of your appearance, voice, and name in connection with Heart of Los Angeles and its initiatives.
I understand and consent
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