2024 Blues Camp Audition Form. Additional info at BluesKids.com/EarlyBird
If you have questions calls (799) BLUES-ME
Blues Kid
Recommended by (If necessary)
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Blues Kid
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First Name
Last Name
Gender
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Male
Female
Identifies As
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He/Him/His
She/Her/Hers
They/Them
Age
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Please Select
11
12
13
14
15
16
17
18
Actual T-Shirt Size
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Please Select
Small
Medium
Large
1X-Large
2X-Large
3X-Large
5X
My Blues Kid is (be honest)
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Entry Level (on their instrument)
Intermediate Level (on their instrument)
Advanced/Pro Level (on their instrument)
Hometown
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Audition Instrument(s)
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Voice
Guitar
Bass
Piano
Organ
Electric Keyboard
Harmonica
Horn (Sax, trumpet, etc.)
Drums
Hand Drums / Percussions
Violin
Other
What 2024 Blues Camp are you interested in?
Mississippi (Spring)
Kansas City, American Jazz Museum (June 20 - 22)
Chicago (July 7 - 12)
Dallas @ Paul Quinn College (July 21 and 22)
Las Vegas (June 27 & 28)
Governors State U. (July 29 - 31)
Winston-Salem, NC (Aug TBA)
West Palm Beach, Dec. TBD
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Parent/Guardian
Mr. or Ms.
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Mr.
Ms.
Rev. (Mr.)
Rev. (Ms.)
Dr. (Mr.)
Dr. (Ms.)
Supervising Parent/Guardian's Name
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First Name
Last Name
Supervising Parent's/Guardian's Phone #
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-
Area Code
Phone Number
Phone Number
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Area Code
Phone Number
Supervising Parent's/Guardian's Email
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Confirm Email
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example@example.com
Any additional info you'd like to share?
Signature
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