Course Reservation Form

Which course are you interested in signing up for (check all that apply)

  The Composer's Workshop
  Techniques of Lyric Writing I
  Techniques of Lyric Writing II
  The Writer's Group

Please fill out the following information to reserve your seat.  You will be contacted by phone in the next few days to confirm your information.

Your Name
Address     
City           
State            Zip Code 
Phone       
Fax           
E-mail                                                              

What type of song do you primarily write?

      Country   Top 40/Pop  R&B/Jazz  Rock  Other 

What instrument(s) do you play?

      Guitar       Keyboard        Other           None

Please include any other comments or information below: