2016 Sousa Mason Heritage Youth Band

1. Application Date *This question is required.

calendar

2. Please fill out the form below and we will be in touch shortly.

First Name *This question is required.

Last Name *This question is required.

Street Address *This question is required.

Apt/PO Box, etc.

City *This question is required.

State / Province *This question is required.

Postal Code *This question is required.

Country *This question is required.

Email Address *This question is required.

Phone Number *This question is required.

Mobile Phone

5. Names of Mother, Father, and / or Guardians *This question is required.

6. Parent Email Address *This question is required.

7. Parent Telephone Number

8. Major Instrument *This question is required.

9. Chair Position in your High School Band *This question is required.

10. Name of Your High School or College *This question is required.

11. Address of Your High School or College *This question is required.

12. City *This question is required.

13. State / Province *This question is required.

14. Postal Code *This question is required.

15. Country *This question is required.

16. Name of Your Director - First Name *This question is required.

17. Director Last Name *This question is required.

18. Years you have played your major instrument. *This question is required.

19. Years of Private Lessons *This question is required.

20. Do you play a second instrument with good proficiency? *This question is required.

21. Name of Instrument

22. Years Played Second instrument

23. List of names and positions of your private teachers and how many years you studied with them: Name 1

24. Name 2

25. List titles and composers of major solos you have performed and the rating you received if you have participated in a contest:

26. List of other musical honors and awards you have received:

27. List of titles of some major pieces your band has performed:

28. What All-State, Regional or other special groups have you played in if any? What chair did you sit?

29. List some important competitions or festivals your concert band has participated in and indicate the ratings received:

We want to contact you!