Virtual Open House Registration Form
Wednesday, January 19, 2022
7:00 PM
vpa.uncg.edu/music/open-house/
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Student First Name
Student Middle Name
Student Last Name
Student Preferred Name
Primary Instrument
Intended Major (check all that apply)
Student Email Address
Parent/Guardian Email Address
Parent/Guardian First Name
Parent Guardian Last Name
Student Cell Phone
Home Phone
Parent/Guardian Phone
Mailing Address (Street or PO Box)
Mailing City
Mailing State
Mailing ZIP Code
High School or College Currently Attending
Current Grade Level
Name of Band/Choir/Orchestra Director
Band/Choir/Orchestra Director Email Address
Have you studied your principal instrument privately?
Clear selection
Please list any musical honors you have received or honors ensembles in which you have participated (e.g. solo and ensemble, competitions, All-District, All-State)
Submit
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