Beats Youth Workshop Registration

Beats Workshop Registration

Get ready for our special guest artist workshop with DJ Moe Litt on Wednesday, December 17, 3:30–5:30 PM at SUNE Records, 1176 W. North St., Lima, OH. Please complete the form below for minor student participation, including parent or guardian consent. For more information, call Liz Whitney at 614-285-2777.

Student Information
Student's Full Name*

First NameLast Name
Student's Date of Birth*

MonthDayYear
Date
Student's Age*
Student's Phone Number*
Please enter a valid phone number.
Student's Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Student's Email Address*
example@example.com

Parent/Guardian Information
Parent/Guardian Full Name*

First NameLast Name
Parent/Guardian Date of Birth*

MonthDayYear
Date
Parent/Guardian Age*
Parent/Guardian Phone Number*
Please enter a valid phone number.
Parent/Guardian Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Parent/Guardian Email Address*
example@example.com
Parent/Guardian Signature*

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Date of Signature*

MonthDayYear
Date
Questions? Record a message and our team will give you a call. 🥳
Leadership Contact Information:
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