The Rock & Metal Academy -Rock & Metal Academy

First Name*

Last Name*

Parent Name (if under 18)

Email*

Phone Number*

Street Address*

Student Birthday*

Which instruments are you interested in studying?

What genres are you interested in studying?

Pop

Rock

Metal

Other (please detail below)

Goals:

Some of my favorite musicians are...

500

Musical Experience so far:

I've studied music, but it's been a while.

I'm currently studying music.

I am or have been in a band.

I have performed to a live audience.

I write or have written my own music.

I'm brand new to learning music.

How did you hear about us? Check all that apply.

Tell us about yourself and your passions and goals with music!