Music Program Inquiry
Contact Type
Are you registering for yourself or someone else?
I am registering for myself
I am registering someone else
Your Information (as the person filling out the registration)
First Name
Last Name
Contact email
Contact country code
Contact phone number
Contact relationship
Parent/Guardian
Spouse/Partner
Friend
Teacher
Other
Student Information
First name
*
Last name
*
Email
*
Country code
*
Phone number
*
Is the student under 17?
Yes
No
Age
Required for students under 17
Program Details
Primary Instrument
*
Select an instrument
Accordion
Bass
Cello
Clarinet
Cornet
Drums
Euphonium
Flugelhorn
Flute
French Horn
Guitar
Harmonica
Organ
Other
Percussion
Piano/Keyboards
Saxophone
Trombone
Trumpet
Vibraphone
Viola
Violin
Voice
Woodwinds
Xylophone
Programs of Interest
Programs of Interest
*
Private Instrumental or Voice Lessons
Weekly Workshops & Ensembles (Jazz, Blues, Bebop, Brazilian, Vocal)
Summer Intensives in NYC
Workshop in Brazil
Workshop in Italy
Workshop in Japan
Courses (Theory, Ear training, Composition, Counterpoint)
Group of Students visiting New York
Teambuilding for Organizations
Other
Teen Programs
Select all programs that interest you
Improvisation Level
*
Beginner
Intermediate
Advanced
Not Sure
Music Theory Level
*
Beginner
Intermediate
Advanced
Not Sure
How did you hear about us?
*
Internet Search
Social Media
Referral
WBGO Radio
Other
Desired start date
Comments
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