MA All-State 2020 Medical Form
MASSACHUSETTS MUSIC EDUCATORS ASSOCIATION 66th ALL-STATE MUSIC FESTIVAL

Auditions
Shrewsbury High School
Saturday, January 25, 2020 Snow Date: January 26, 2020

Rehearsals
Seaport World Trade Center, Boston
March 5 - March 7, 2020

Concert
Symphony Hall, Boston
March 7, 2020

Students participating in the All-State Festival will be rehearsing at the World Trade Center and housed either at the Seaport Hotel, Boston or at the Renaissance Boston Waterfront Hotel. Accommodations will be quad occupancy with two double beds per room. Students will be transported to Symphony Hall, Boston, by commercial bus.

PLEASE COMPLETE THIS FORM BY FRIDAY, FEBRUARY 14, 2020.
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Email *
Untitled Title
Student's name *
School *
Grade *
Gender *
Date of Birth *
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DD
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Student's age *
Instrument *
Parent/Guardian's Name *
Home address *
Street, City/Town, Zip
Parent/guardian Home phone number *
Parent/guardian Cell phone number *
Parent/guardian work phone number *
In an emergency, notify: *
Please list name, relationship to student, and best numbers to call
Is student taking medication? *
If yes, please list medication and dosage. If no, please write N/A *
Does the student have any allergies? If yes, please describe here. If no, please write N/A. *
Does the student have any illness? If yes, please describe here. If no, please write N/A. *
Does the student have any dietary restrictions or require a special meal? If yes, please specify here. If no, please write N/A. *
A copy of your responses will be emailed to the address you provided.
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