Audition Request Form

Thank you for your interest in the Academy youth ensembles.

Please complete the form below to register for an audition. Refer to individual ensemble descriptions for audition dates and requirements or call the Academy at 920-832-7038 for more details.

Name *

Birthdate *

Gender *

Male

Female

Parent Name *

Address *

City *

State *

Zip *

Email *

Home Phone *

Cell Phone

School *

Music Teacher *

Current Grade *

Grade Next Fall 2013-14 *

Ensemble *

Instrument *

Will you be enrolled in your school music program next fall? *

First Choice Audition Time

Second Choice Audition Time

Third Choice Audition Time

How did you hear about Lawrence Academy of Music?

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Audition Request Form

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