Crossroads Music Community

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Services/
About/
Testimonials/
Media/
Signup Questionnaire/
Contact/

Band Workshop Questionnaire

Services/
About/
Testimonials/
Media/
Signup Questionnaire/
Contact/

Your Basic Contact Info

Name *

First Name

Last Name

Age (real) *

Email Address *

Phone

(###)

###

####

instrument

Please briefly describe your musical experience, including experience on your instrument(s), band and/or performance history:

Do you read music?

Yes

Tell us about your musical influences, artists you currently like and list a few songs you would be interested in playing with a group:

How did you hear about us?

Please list the name(s) and contact info of your current music teacher(s) if any:

I am signing up to play the following instrument (please list any/all you are interested in i.e. Guitar, Vocals etc.)

Scheduling, Please check all available times for you, this could highly affect your ability to get in a class - the more options the better. There may be other options, but the below is are most common slots available. Note Kids Classes Not included here, but are 1 Hour.

Mon. 6:30-8:10 San Rafael

Mon. 8:20 - 10 San Rafael

Tue. 6:30-8:10 San Rafael

Tue. 8:20 - 10 San Rafael

Wed. 6:30-8:10 San Rafael

Wed. 8:20 - 10 San Rafael

Thur. 6:30-8:10 San Rafael

Thur. 8:20 - 10 San Rafael

Sun. 10:00-11:40 San Rafael

Sun. 11:45-1:25 San Rafael

Sun. 1:30-3:10 San Rafael

Sun. 3:15-4:55 San Rafael

Please write a short paragraph about your musical goals for the next year

Do you play more than one instrument? if so please list

Do you sing?

Would you be interested in our vocal class to help round out your vocals?

Yes

What level you consider yourself instrumentally and/or vocally?

Are there examples of your playing I can hear? If yes, please share link

Feel free to provide other details you think may be helpful to us to improve and make the most of your experience with Crossroads Music School

Thank you!