Web Site Application Form Please fill in the following form Student’s First Name * Student’s Age Name of the previous Shine band (if known) Student’s Last Name * Student’s School Student’s Email Address * Student’s Instrument Primary Parental Contact Name * Enter “none” if the student is over 18 years old Primary Parental Email * Primary Parental Phone Primary Parental Mailing Address Additional Parental Contact Name Enter “none” if the student is over 18 years old Additional Parental Email Additional Parental Phone Additional Parental Mailing Address Please indicate which days and times are good for you * I prefer the same private lesson time as in the previous season I prefer the same band time as in the previous season Please indicate if you are interested in in-home lessons I am also available on (required for ALL students) Fill in other times and days you are available, (eg: Sunday 4pm-5pm) Group Lessons Please indicate the courses that interest you Adult folk and Rock Bands Composition Professional Recording Engineering RCM Preparation Classes Beyond First Level RCM Preparation Small Group/Jazz Combo Small Group / Specialty Bands and Rock Bands All-Star Jazz Band – By audition only All-Star Rock Band – By audition only Private Lessons Please Indicate Length of Lessons 30 minutes 45 minutes 60 minutes Percussion Drum Set Snare Drum Rudiments (Orchestral percussion will be referred to other schools) Reeds Saxophone Clarinet Flute (Double reeds will be referred to other schools) Strings Acoustic Guitar Electric Guitar Upright Bass Electric Bass (Orchestral strings will be referred to other schools) Brass Trumpet Trombone French Horn Euphonium Tuba Keyboards Piano Synth and analogue electric keyboards In our new simplified fee structure, all bands are now $19/hour/member. The Shine Group Policy: You must agree to the Shine Group Policy in order to complete the registration. I have read and agree to The Shine Group Policy I have read and agree to The Shine Group Policy
