David Z Foundation Music Mentor Program
Thank you for your interest in the David Z Foundation's Music Mentor Program.  It is available for students ages 7 to 18 and will involve inquiry based learning and improving social emotional wellness through the magic of music.
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Which program are you interested in signing up for?
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Parent's Full Name *
Parent's Email Address *
Parent's Phone Number *
Parent's Mailing Address
Student's Full Name *
Student's Date of Birth *
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Student's Email (optional)
Address of Student's Primary Residence
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Student's Phone Number (optional)
Student's Area of Interest
Primary interest
Secondary interest
Slight interest
Songwriting
Music Production
Music Performance
Music Business (PR/Marketing)
Student's Instrument (if student is an instrumentalist)
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Student's Level of Experience *
What gear do you already have to record/perform with? (Mark all that apply)
The David Z Foundation strives to make music education available to all and highly values engagement.  It is critical that students participate fully and are committed to attendance.  Students who have more than one unexcused absence will possibly be under review for removal from the program.  
I attest that the responses and information given is accurate, complete, and current as of this date. I acknowledge that I must ensure my child’s participation and will adhere to all DZF criteria. *
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