ANNAPOLIS SYMPHONY ACADEMY APPLICATION

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Applications are required for all of our classes, lessons, and ensembles. Please apply today! Thank you.

"*" indicates required fields

Parent/Guardian Name*

First Last

Student Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Parent Phone*

Alternate Phone

Email*

Student Birthdate*

Student Ethnicity

What school does your student currently attend?*

Instrument:*

Name of private school music teacher:

Please indicate which ASA program you are applying for:*

Please indicate if you prefer a virtual or live audition (Not required for Discovery or Beginner classes):

Please let us know how you learned about the ASA:*

Please let us know any other comments or questions:

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