Online Registration for the Action Music Academy Certificate Program

(Usahili kwa njia ya mtandao kwa ngazi ya cheti wa Action Music Academy)

Main Instrument / Voice*
Chombo kikuu/sauti
Name (Jina)*
First Last
Gender*
(Jinsia)
- Male (Mwanaume)
- Female (Mwanamke)
Address*
(Anuani/unakokaa)
Email*
(Barua pepe)
Telephone number*
(Namba ya simu)
Date of Birth*
(Mwaka wa kuzaliwa)

Day
Month
Year
Legal Guardian (if you are unders 18 years of age)
Mlezi kama una miaka chini ya 18
Your message to us
(Ujumbe wako kwetu)
* = must be filled in (ni lazima ijazwe)
CAPTCHA
Phone
This field is for validation purposes and should be left unchanged.