Name *

First Name

Last Name

Phone *

(###)

###

####

Skill Level *

Beginner

Intermediate

Advanced

Bringing your instrument *

Yes

No

Emergency Contact *

First Name

Last Name

Phone *

(###)

###

####

I (18+ and over or parent of minor) have read the waiver (below), fully understand its content, understand it is a release of liability and sign it of my own free will. *

Yes

No