Shema Youth Admission Form

Application Form

Please pay the application fee of $60 to complete your application.

Thank you.

Name of the Applicant(Required)

First Last

Date of Birth(Required)

Applicant's Grade(Required)

Applicant's Email(Required)

Parent/Guardian Email(Required)

Applicant's Address(Required)

Street Address Address Line 2 City State ZIP Code

Applicant's Phone Number(Required)

Applicant's School(Required)

Applicant's Instrument(Required)

How many years has the Applicant played the instrument?(Required)

Applicant's NYSSMA Level(Required)

Any Performance Experience?(Required)

i.e. Orchestra, Ensemble, or Band and etc.

Title of Piece and Composer(Required)

YouTube Link or Video of your Performance(Required)

Teacher's Name(Required)

Teacher's Email(Required)

Application Fee(Required)

Price:

Zelle: shemagospel@gmail.com

Please click the link below for more information: TBA