AMP Interest (Email List) Form

Name*

First NameLast Name
Email*
example@example.com
Phone Number
Are you...*

Interested in programming for myselfInterested in programming for my childInterested in volunteeringInterested in a job/teaching positionOther
Select your age range (of participant or volunteer)*

Under 1818-2425 or older
Current Age*
Age of Child(ren)?*
Name of Child(ren)
Parent Name

First NameLast Name
Parent Email
example@example.com
Please share any questions, inquiries or interests*
What are you interested in doing?*

Music Production/BeatmakingInstruments (Piano, Guitar,Bass, Drum Set)Vocal Technique, Rapping, SingingSongwritingDJingAudio EngineeringMusic BusinessOther
What is your creative craft?*

Music Production (beatmaking, film scoring, etc)PianoGuitarElectric BassDrum SetOther DrumsSingingRappingDJingAudio Engineering (recording, mixing)SongwritingMusic BusinessVideography or PhotographyOther Performing Arts (acting, dance,etc.)Other
Would you be participating in...

BaltimoreDCEither
What Type(s) of Programming Are You Interested In?*

Drop-In (ex. Open Lab, Open Mic)Weekly Group ClassesWeekly Solo SessionsPerformance Group, Band or Ensemble (ex. AMPlified, Pop Band)RecordingOther
Would you like to be added to our email list?*

YesNoOther
How did you hear about us? *
THANK YOU FOR YOUR INTEREST AND INFO!

LOOK FOR AN EMAIL/TEXT WITH INFO ABOUT PROGRAM OFFERINGS AND EVENTS!!

For additional questions, email Christina Campbell at ccampbell@livingclassrooms.org
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