First Name


Last Name


Age
Select age... 11 12 13 14 15 16 17

Boy or Girl
Boy or Girl... Boy Girl

Primary Instrument
Select primary instrument... Vocals Electric guitar Acoustic guitar with pickup Electric bass Double bass with pickup Drums Percussion Keyboard Alto saxophone Tenor saxophone Baritone saxophone Soprano saxophone Clarinet Flute Trumpet Trombone Electric violin Electric cello Turntables/samplers Other

How many years have
you been playing?
Select number of years played... Less than one One Two Three Four Five Six Seven Eight Nine Ten More than ten

Do you sing?
Yes No

If not, would you like to try?
Yes No

Have you ever played in a band?
Yes No

For how long?
Select number of years played... Less than one One Two Three Four Five Six Seven Eight Nine Ten More than ten

Can you read music?
Yes No

Can you improvise?
Yes No

List some of you favorite musical styles
(alternative, classic rock, jazz, classical,
metal, blues,ska, punk, hardcore, etc)


List some of your favorite bands


Would you be interested in
trying different musical styles?
Yes No

Would you be interested in
creating original music?
Yes No

List any other musicians who are
coming that you plan to play with