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Black Star Drum Academy Interest Form
Please answer a few questions to get started on your journey in Black Star Drum Academy! The information provided on this document will not be shared externally unless we receive your permission.
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* Indicates required question
Student Last Name
*
Your answer
Student First Name
*
Your answer
Section of Interest
*
Snare
Tenors
Bass
Cymbals
Required
Student Email Address
*
Your answer
Student Phone (e.g. 608-123-1938)
*
Your answer
Hometown City
*
Your answer
Hometown State (or country if outside U.S.)
*
Your answer
Birth Date (ex. 05/15/2020)
*
MM
/
DD
/
YYYY
Tee Size
*
Small
Medium
Large
XL
XXL
XXXL
Required
Mailing Address (Address, City, State Zip/Postal Code)
*
Your answer
To which gender(s) do you most identify?
*
Male
Female
Transgender Male
Transgender Female
Non-binary
Genderqueer
Gender Fluid
Prefer not to say
*Prefer to Self-Describe
Required
*Prefer to Self-Describe
Your answer
Pronouns
*
He/Him
She/Her
They/Them
Required
Which of the following best describes you?
*
Asian or Pacific Islander
Black or African American
Hispanic or Latino
Native American or Alaskan Native
White or Caucasian
Multiracial or Biracial
A race/ethnicity not listed here
Prefer not to say
Required
Parent/Guardian Name (First/Last)
Your answer
Parent/Guardian Email
Your answer
Parent/Guardian Phone
Your answer
Tell us why you're interested in joining Black Star Drum Academy!
Your answer
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