preAMP 2019 - Registration
pre AMP 2019 is a 3-day music camp for Coachella Valley students entering 3rd-5th grade. This program is open to young musicians who have never played an instrument and beginner musicians — no experience necessary!

Wed July 31 — Fri Aug 2
9am-12pm
Hope Lutheran Church (Hope Center) — Palm Desert, CA 92260
$30 per student
Showcase on Friday, August 2nd at 6pm

Read about preAMP in detail: http://ampcv.org/preamp

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MUSICIAN INFO
As part of the registration process, we are asking you to please fill out all information requested if possible. This will be kept confidential with AMP leadership.
First Name *
Last Name *
Musician Email *
Age
Home Address
School
Elementary School Promotion/Graduation Year *
AUDITION INFO
Do you have experience playing an instrument?
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If so, tell us about your musical experience
What music classes, lessons, or camps have you taken part in?
Do you have any comments or questions?
How did you hear about preAMP?
PARENT/GUARDIAN CONTACT INFO
As part of the registration process, we are asking you to please fill out all information requested if possible. This will be kept confidential with AMP and Hope Lutheran leadership.
Guardian #1 Name *
Guardian #1 Email *
Guardian #1 Phone
Guardian #2 Name
Guardian #2 Email
Guardian #2 Phone
Best way to contact Guardian
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EMERGENCY / MEDICAL INFO
As part of the registration process, we are asking you to please fill out all information requested if possible. This will be kept confidential with AMP and Hope Lutheran leadership.
Emergency Contact Name
Relationship to Musician
Emergency Contact Phone
Emergency Contact Email
Allergies? (Musician)
Medical Conditions that AMP should know about? (Musician)
Thanks!
We have limited availability, so we will email you your status once you have submitted your information. We will keep a waitlist for those who submit once we've passed our capacity. Thank you for submitting!
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