Name *
Name
Phone *
Phone
Address *
Address
Emergency Contact Name *
Emergency Contact Name
All SMCA participants are asked to provide emergency contact information . This is a required field.
Emergency Contact phone *
Emergency Contact phone
Please provide a phone number for your emergency contact person.
Please list any medical issues or allergies.
Committees *
Would you be willing to serve on any of these committees this year?
If you play any instrument(s) or are interested in supporting Musica with other talents, please let us know here:
Do you know anyone who could serve on the External Advisory Board?