2019 AMP Summer Series Application Personal InformationApplicant First Name*Applicant Middle NameApplicant Last Name*Address* Street Address Address Line 2 City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Which county do you live in*Please select oneFultonDekalbGwinettClaytonFayetteHenryDouglassCobbForsythRockdalePauldingCherokeeOtherPlease select your ethnicity from this list:*Please select oneBlack/African AmericanAmerican IndianHispanic and Latino AmericansCaucasianAsian/Pacific IslanderOther/Multi-ethnicChoose not to discloseParent/Guardian Name* First Last Parent/Guardian Email* Parent/Guardian Home PhoneParent/Guardian Cell Phone*Would you like to provide information for a second Parent/Guardian?* Yes No Second Parent/Guardian First Name* First Last Second Parent/Guardian Email* Second Parent/Guardian Home PhoneSecond Parent/Guardian Cell Phone*Does your household receive federal or state benefits such as SNAP or TANF, WIC, Medicaid?**YesNoEmergency Contact InformationEmergency Contact Name* First Last Emergency Contact Email* Emergency Contact Phone*Applicant InformationApplicant Birthday - MM/DD/YY* Date Format: MM slash DD slash YYYY Age of Applicant on June 3, 2019*Grade Level of Applicant in August 2019*School Applicant is Attending for 2019-2020*Does child qualify for free/reduced price lunch at school?*YesNoFood Allergies (if none please type "none")*Medical Conditions (if none please type "none")*Musical InformationWhich 2019 AMP Summer Series are you applying for?*Band/OrchestraChoirSelect instrument*Please Select OneViolinViolaCelloDouble BassFlutePiccoloOboeClarinetBass ClarinetBassoonTrumpetFrench HornTromboneBass TromboneTubaOrchestral PercussionHow many years have you played the selected instrument?*Please Select One12345+NoneSelect voice range*Please Select OneSopranoAltoTenorBaritoneBassNot SureHow many years have you been a vocalist?*Please Select One12345+NoneI understand that in order for my application to be considered, a letter of recommendation from a music teacher will be required* Yes Name of School Music Teacher (if none please type "none")*School Music Teacher Email School Music Teacher Phone NumberName of Private Music Teacher (if none please type "none")*Private Music Teacher Email Private Music Teacher PhoneDo You Own Your Instrument?*YesNoWill you borrow an Instrument from AMP?*YesNoYears of Band Experience*Please Select One12345+NoneYears of Orchestra Experience*Please Select One12345+NoneYears of Choir Experience*Please Select One12345+NoneApplicant T-Shirt Size (adult sizes)*Please Select OneXSSMLXLXXLCAPTCHA This iframe contains the logic required to handle Ajax powered Gravity Forms.