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2019 Summer Band Registration Form
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* Indicates required question
Last Name
*
Your answer
First name
*
Your answer
Instrument
*
Flute
Oboe
Clarinet
Bass Clarinet
Alto Saxophone
Tenor Saxophone
Bari Saxophone
Trumpet
French Horn
Trombone
Baritone
Tuba
Percussion
Mallet
Bass Guitar
What Grade are you entering in September
*
5
6
7
8
9
10
11
12
Parent Email #1
*
Your answer
Parent Email #2
Your answer
Student Email
Your answer
Parent Home Phone
*
Your answer
Parent Cell Number #1
*
Your answer
Parent Cell Number #2
Your answer
Which Elementary School did you attend?
*
Mansfield
Springfield
North Hanover
Chesterfield
OTHER
Any info you would like to share with Mr. Lindner or Mrs. Hughes
Your answer
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