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Student Full Name
*
(As it will appear in concert programs)
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Last Name
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Parent 1 Name
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Parent 2 Name
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Homeroom Teacher
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Choose
(4) Lange (Crystal)
(4) Lange (Marie)
(4) Mata
(4) Perusich
(4) Vickers
(4) Walden
(4) Wright
(5) Hagedorn
(5) Kaminski
(5) Nelli
(5) Novak
(5) Riebe
(5) Tammeling
(5) Whiteford
Parent E-mail (to be used only for choir updates)
*
(if none please write NA)
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Secondary Email
(for another parent or grandparent who wants to receive choir updates)
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