Groove Garden info form

Name of child *

First

Last

Contact for child

Age

Name of parent *

First

Last

Parent contact

Email for updates

Emergency contact person name and phone *

First

Last

Email for updates *

Address

Do you play an instrument?

How many years study?

What instrument do you play?

Do you play an insturment that is not listed?

Which session is your first choice?

If you are interested in two weeks, which do you want?

If you are interested in three weeks, which do you want?

Anything else you would like to add?

Do you sing

If yes how many years training?

Do you write music or lyrics? Please elaborate.

Do you have any experience or training with recording or sound editing equipment?

Any other skills?

Have you ever played live or with a band?

Are your parents musicians?

What artists influence you?

Admin/Notes ( do not fill out this field)