REGISTRATION FORM

MUSIC/DRAMA (INDIANAPOLIS)

NAME_________________________ AGE _________

SCHOOL ______________________ GRADE ________

PARENT‘S NAMES _________________________ ________________________________________

PHONE (home)__________ (work) __________ (other) ___________

ADDRESS _______________________________________

EMAIL _________________________________________

MUSIC OR ACTING EXPERIENCE_____________________

_______________________________________________

I WOULD LIKE TO SIGN UP FOR:

MUSIC ___ DRAMA___ MUSIC & DRAMA

HOW DID YOU HEAR ABOUT DR. MUSIC’S LITTLE BANDS SCHOOL _______________________________________

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please make all checks payable to Dr. Music’s Little Bands School!