PanGEA workshop registration

Address

Address of School or Program

Years Teaching Music
Years Teaching Pan
Do you primarily play the steelpan?

Yes No
What is your level of proficiency of steelpan performance/ technical ability?
Emergency Information
Emergency Contact's Name

First Name Last Name
Relationship
Phone Number

Area Code Phone Number
Alt. Phone Number

Area Code Phone Number
My Products *

TT Resident $ 45.00

Non-TT Resident $ 90.00

Total $ 0.00

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Confirmation

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PanGEA August Workshop