Apply Apply For Program Name * Name First First Last Last Phone * Email * Last Deployment Location Emergency Contact Number Have you been diagnosed with PTSD or Depression? * PTSD Depression Both PTSD and Depression Not diagnosed with either Are you actively in counseling or under medical care for PTSD or Depression * yes no Do you have any physical limitation that may hinder your progress in this program? if so describe * What Instrument Do You Want To Learn * Guitar Bass Slide Guitar / Lap Steel What are your favorite colors * Red Blue Green Orange Black Yellow What kind of music do you like? (choose all you like) * Rock Country Hard Rock Metal Jazz Folk Bluegrass Preferred Location * Kent County Sussex Country Wicomico County Caroline County I understand that to participate in this program I must complete 16 weeks of lessons, and I must devote 90 minutes a week minimum to practicing and going over my lessons. I understand that I will be receiving a loaner acoustic instrument and that at the end of the course I will be returning that to Frets4Vets for use by the next participant. Yes I agree No I do not agree If you are human, leave this field blank. Submit
