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UMSL Keyboard Camp 2024 - Registration
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First name
*
Your answer
Last name
*
Your answer
Student Email address
*
Your answer
Parent/Guardian Email address
*
Your answer
Mailing address: Street
*
Your answer
Mailing address: City
*
Your answer
Mailing address: State
*
Your answer
Mailing address: Zip code
*
Your answer
Age
*
Your answer
Name of school
*
Your answer
Anticipated year of high school graduation
*
Your answer
Private teacher (if applicable)
Your answer
Name of emergency contact (parent or guardian)
*
Your answer
Emergency contact phone number
*
Your answer
Once you've completed this registration form, please click "Submit," and then go back to the previous page and pay for the registration. Thank you!
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