Synergy Network Percussion Symposium(Student)
Please submit this form by December 7, 2023.This event is exclusive invite so please contact us if you will be participating. $30 registration fee Includes group masterclass, individual session, mock audition w/ grading sheet & meal
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Email *
Student Name *
Name of School *
Director Name *
Percussion Instructor Name *
Grade Level *
Primary Instrument Focus
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Secondary Instrument Focus *
Please list any solo or ensemble pieces you're working on *
Parent/Guardian Name *
Parent/Guardian Phone *
Parent/Guardian Email *
Emergency Contact *
Relationship with student *
Emergency Contact phone number *
List all health problems,and/or medications or allergies
Parent/Guardian E-signature *
Payment type *Payment is due by Day of Event* *
Submit
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