Salmon Jam Music Workshop Registration Form

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Please complete this form for music workshops hosted by this year's headliner band, the Dan Mac Band, on Saturday, July 13, 2019. Participation in the workshops is FREE to all! Please select one only. The first hour each group will be separate and then come together for the 2nd hour. Recommended age is 10 & up. Workshops will be held at Mt Eccles Elementary School. Please contact Alyssa Kleissler @ 907-253-3633 with any questions. Thank you!

First & Last Name *

Email *

Mailing address *

Telephone *

First & Last Name of Parents/Guardians (if younger than 18) *

Emergency Contact Name & Phone

Age *

Date of birth

YYYY

Workshop enrolling in: *

PERCUSSION with Cameron Cartland, who studied percussion art Berkeley School of Music as well as Brazilian percussion in Brazil. He is one of the top drummers and session players in Alaska.

BASS with Dirk Westfall, who was in the Air Force Band of the Pacific .

KEYBOARD with Dan Mac, musician and composer and lead of the Dan Mac Band!

HORNS with Ted Stern, who was in the Air Force Band of the Pacific.

VOCALS with John "Pypes" Teamer, also with the Air Force Band of the Pacific.

Other:

Required

I am interested in performing the song together with the other participants on the Salmon Jam stage during Saturday evening's performance. If I play, I know will get free admission to the jam on Saturday night! *

Yes

Maybe

Other:

Occasionally we use photos and video on our website, Facebook Page, Instagram and flyers. Do you give permission for us to use pictures or video in this capacity? *

Yes

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