AMP Summer Series Application Student First Name (required) Student Last Name (required) Address (required) City (required) State (required) Zip Code (required) Name of Parent(s)/Legal guardian(s) (required) Parent Email (required) Parent Home Phone (required) Parent Cell Phone Emergency Contact Name (required) Emergency Contact Number (required) Emergency Contact Email (required) Student Birthday (mm/dd/yy) (required) Age of Student on June 5, 2017 (required) Grade Level in August 2017 (required) School Student is Attending for 2017-2018 (required) Does child qualify for free/reduced priced meals at school? (required) Yes No Food Allergies (required) Medical Conditions Instrument student will play at 2017 AMP Summer Series ---ViolinViolaCelloDouble BassOboeFluteClarinetBassoonFrench HornTrumpetTromboneTubaOrchestral PercussionVoice How many years have you played this instrument? Name of school music teacher (if any) School Music Teacher Email School Music Teacher Phone Name of private music teacher (if any) Private Music Teacher Email Private Music Teacher Phone Do you own your own instrument? Yes No Will you need to borrow an instrument from AMP? Yes No How many years of choir experience do you have (if any)? How many years of band experience do you have (if any)? How many years of orchestra experience do you have (if any)? Please select student's t-shirt size (adult sizes listed): XS S M L XL XXL Sign me up for the newsletter!