ALEXANDRIA GUITAR FESTIVAL
Online Registration
Participant Registration Information:
1. First Name:
2. Last Name:
3. Mailing Address:
4. City:
5. State
:
6. Zip code:
7. Parent/Guardian's Name:
(For participants under 18 only)
8. How did you hear about us?:
9. E-mail:
10. Re-type E-mail:
11. Telephone:
12. Emergency Contact Name:
13. Emergency Contact Phone:
14. Teacher's Name:
15. Primary Interest:
Classical Guitar
Flamenco Guitar
Jazz Guitar
Suzuki Guitar
16. Repertoire for Placement:
17. Teacher Preference 1:
18. Teacher Preference 2:
19. Teacher Preference 3:
20. Every Child Can! (Suzuki):
$120.00
21. Suzuki Student:
$320.00
22. Suzuki Teacher Trainer:
$620.00
23. CAMC Student:
$355.00
24. CAMC Auditor:
$155.00
25. Day Pass, Wednesday:
$55.00
26. Day Pass, Thursday:
$55.00
27. Day Pass, Friday:
$55.00
28. Day Pass, Saturday:
$55.00
29. Donation:
30. Total Payment Enclosed:
31. TERMS OF AGREEMENT
32. I AGREE TO THE TERMS- Please initial:
*
Registrations will not be processed unless you have agreed to thees terms
33. Date
:
34.
Special requests and/or comments:
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