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REGISTRATIONS N
OW OPEN!
Student First Name
Parent First Name
Student Last Name
Parent Last Name
Student DOB (Classes are for students ages 5-17)
Email
Phone
City
State
Time Zone
Choose an option
What is your Race/Ethnicity?
Black/African American
White/European
Latin American/Hispanic
Native Amerian
Asian
Pacific Islander
Other
Do you have access to a reliable Wi-Fi connection?
*
Yes
No
Does the student have any special needs, accommodations, or disabilities that we should be aware of to ensure a supportive and inclusive learning environment?
*
Yes
No
If yes, please provide details below.
Is parent/guardian willing to sign a media release form?
*
Yes
No
Maybe
What courses are you interested in?
Music Production
DJ'ng
Audio Engineering
Level:
*
Beginner
Intermediate
Advanced
Additional Musical Skills/Talents
Singing
Rapping
Songwriting
Which session are you interested in?
Do you play any instruments?
*
Yes
No
What instrument(s) do you play?
Type
*
Group Classes ($50 p/hr)
Apply for Scholarship
Household income: (To be filled out by parent)
Under $50,000
Between $50,000- $70,000
Above $70,000
Unfortunately, you do not meet the criteria for a scholarship. Please deselect the scholarship option to continue your registration
Why is music important in your life?
If awarded a scholarship, what significance would that have on your life?
Why do you think there are so few female music producers, DJs, and audio engineers.
How did you hear about Girls Make Beats
Choose an option
What school do you attend?
What grade are you in?
Questions/Comments
*IMPORTANT* A FOLLOW UP EMAIL WILL BE SENT WITH NEXT STEPS UPON COMPLETION OF THIS REGISTRATION FORM.
PLEASE ENSURE EMAIL IS ACCURATE BEFORE SUBMITTING.
Submit
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