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Cox Mill Spring 2021 Class Band Registration
Updated 2021 Information. This information is for band related purposes only.
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Student First Name
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Your answer
Student Last Name
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Your answer
Grade
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Freshman
Sophomore
Junior
Senior
Other:
Band Class Fall Semester 2021
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Concert Band
Symphonic Band
Wind Ensemble
Concert Instrument
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Flute
Oboe
Bassoon
Clarinet
Bass Clarinet
Alto Sax
Tenor Sax
Bari Sax
Trumpet
Horn
Euphonium
Trombone
Tuba
Percussion
Double Bass
Will you need to check out a school owned instrument?
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Yes
No
If yes to renting a school instrument, what instrument will you need to rent? (Winds ONLY)
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Your answer
Will you need a mouthpiece? (Winds only)
Yes
No, I have my own
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Student T-Shirt Size (Adult Sizes)
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S
M
L
XL
XXL
Student Email (Not School Email)
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Your answer
School Email
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Your answer
Student Cell Phone
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Your answer
Parent/Guardian 1 First Name
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Your answer
Parent/Guardian 1 Last Name
*
Your answer
Parent/Guardian 1 Email
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Your answer
Parent/Guardian 1 Phone Number
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Your answer
Parent/Guardian 2 First Name
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Your answer
Parent/Guardian 2 Last Name
*
Your answer
Parent/Guardian 2 Email
*
Your answer
Parent/Guardian 2 Phone Number
*
Your answer
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