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School Information

Select School *Select

School Name*Please provide accurate information

School District

School Country*Please provide accurate information. Interested students from other countries, use our Contact Us form to connect with us.

School State*Please provide accurate information. The program is open for other states. Please contact us for details.

School City*Please provide accurate information. Enter Not Applicable in case of Cyber school.

School Zip*Please provide accurate information. Enter Not Applicable in case of Cyber school.

Student Information

First Name*

Last Name*

Gender*

MaleFemale

OtherPrefer To Not Answer

Age*

Birth Date*

Grade*

Primary Skill*

If other, specify*

Primary Skill Level*Please note We Play Music 4 You appreciates everyone's contribution irrespective of their skill level

Secondary Skill

If other, specify*

Secondary Skill LevelPlease note We Play Music 4 You appreciates everyone's contribution irrespective of their skill level

T-Shirt size*

Ethnicity*

Any prior similar volunteering experience?*

YesNo

How did you hear about us?*

Do you consider yourself a person with a disability?

Yes

What motivates you to volunteer?*

Student Photo (Optional, please read Help text)Volunteer of the month will be announced each month which will display the recognized student's photo on our website

Upload

Contact Information

Address Line 1*

Address Line 2

Country*

State*

City*

Zip Code*

Email Address*

Mobile*

Parent/Legal Guardian Information

First Name*

Last Name*

Email Address*

Phone*

Relationship to student*

Parent/Legal Guardian 2 Information (Optional)

First Name

Last Name

Email Address

Relationship to student

Phone

Login Information

Username*

Password**At least 8 characters with at least 1 letter and number, and at least 1 uppercase and 1 lowercase letter

Confirm Password**

E-mail Address**This email will be used for account notification

*PLEASE READ CAREFULLY PRIOR TO FORM SUBMISSION

Photo Release

I grant We Play Music 4 You permission to take photos and videos of the student volunteer during performance at a facility to use in brochures, web site, posters, advertisements, or other promotional material. Permission is also hereby granted for the We Play Music 4 You organization to copyright such photos in our name.

Photo Release Consent*

YesNo

By submitting this application, I, the undersigned applicant(student and parent or guardian in case of minor), do hereby agree to the Consent document, Terms and Conditions, and Privacy Policy

Student Initials*

Parent Initials*

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