JOIN TEENS MUSIC ACADEMY Please complete this form carefully. All information provided will be treated with confidentiality. Leave this field blank Section A: Personal Information Full Name Date of Birth Gender Select one Male Female Contact Address City State Phone Number Email Address Section B: Parent/Guardian Information Parent/Guardian Full Name Relationship to Teen Phone Number Email Address Home Address (if different) (optional) Section C: Music Interest What area of music are you most interested in? (You can tick more than one) Vocal Training (Singing) Keyboard / Piano Drums / Percussion Guitar (Acoustic / Bass / Lead) Saxophone / Trumpet / Violin Music Theory Songwriting / Composing Do You Have Any Previous Musical Experience or Training? Select one Yes No If Yes, Please Describe (optional) Why Do You Want to Join Teens Music Academy? 0/100 max words I agree to allow SOFAM to store and process the personal information submitted. Submit Application