Make Music Day 2022 Live Performance Interest Form
Name
(Required)
First
Last
Email
(Required)
Phone
(Required)
Name of Song
(Required)
Instrument?
(Required)
Equipment Needed
Teacher
(Required)
Store Location
(Required)
Select from Drop Down
Timonium
Gambrills
Reading
York
Westminster
Hanover
Lancaster
Harrisburg
Signature - All entries must include signature. By signing this and uploading a performance video or audio, you are granting Menchey Music Service permission to use your likeness or the likeness of your child in a photograph or video in any of its publications, including web-based publications. (under 18 needs parent/guardian signature)
(Required)
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