Contact informationFull name* First Name Last Name AgeBirthdate* MM slash DD slash YYYY Street Address* City* State*AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificEmail* Phone Number* Username* Password* Password Confirm Password *If under 18 years of ageParent Name Parent Address Parent PhoneParent Email ExperienceHow did you hear about AMMP? What instruments do you play? # of year(s) played?What equipment have you used to DJ? How many years of DJ experience?What Equipment/DAWs have you used? How many years of production experience?Have you used Modular/Eurorack gear?YesNoWhat would you like to use our studios for?What would you like to use our studios for?Check all that apply DJ Production Photography Private Instruction Videography Recording Collaboration Live Room Workshops Modular/Eurorack How many hours do you anticipate spending at AMMP each week?Would you like to be contacted about private instruction?Would you like to be contacted about private instruction? Yes No *If Yes, what instrument and/or subject? Band/Orchestra student? Yes No If Yes, which program and level/instrument(s) Consent I understand the Studio Policy and I accept all terms within.Read Policy Here.Signature Date MM slash DD slash YYYY Parent Signature (if under 18) Date MM slash DD slash YYYY PhoneThis field is for validation purposes and should be left unchanged.
