Music Major for a Day

Use the secure form below to reserve your spot for our Music Major for a Day at William Paterson University.

In order for your information to be processed, all items with an * next to it are required.

* First Name:

Middle Name:

* Last Name:

Preferred First Name:

* Birthdate

* Mailing Address

Country

Street

City

Region

Postal Code

* I am:

Current school/institution you are enrolled at:

* What semester do you plan to enter WPUNJ?

* Student Cell/Alternate Phone:

* I give permission to William Paterson University to send me important updates via text and/or voice messaging. (Standard message rates apply)

Yes

No

* Student's Email Address:

Parent/Guardian 1 Cell Phone:

Parent/Guardian 1 Email Address:

Parent/Guardian 2 Cell Phone:

Parent/Guardian 2 Email Address:

* Your Intended Major:

What is your primary instrument or voice part?

Number of guests:

How did you hear about the event?

Music Major for a Day

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