Contact Name *

First Name

Last Name

Phone

(###)

###

####

Student Name *

Enter the name of your student musician. If you have more than one student enrolled, enter all names.

First Name

Last Name

Grade Level

Check all that apply.

6

7

8

Skills and Interest

Let us know which skills and/or interests you would like to bring to our board. Check all that apply.

Administrative Support

Citrus Sale/Fundraising

Event Planning

Finance and Operations

Music Program Liaison

Web, Marketing, Communications