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Join the Cane Creek Middle School Orchestra Program!
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Student First Name
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Your answer
Student Last Name
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Your answer
What instrument are you interested in playing? Choose any and all that apply. This does not have to be a final decision.
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Violin
Viola
Cello
Bass
I would like more information before I make my decision!
I already play one of these instruments!
Required
Parent/Guardian #1 (First and Last Name)
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Your answer
Parent/Guardian #1 Email address (Please write ¨no email¨ if you do not have one.)
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Your answer
Parent/Guardian #1 Phone Number
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Your answer
Parent/Guardian #1 How do you prefer to be contacted? Please choose all that apply.
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Email / Correo electrónico
Phone call / Llamada telefónica
Text Message / Mensajes de texto
Required
Parent/Guardian #2 (First and Last Name)
Your answer
Parent/Guardian #2 Email address (Please write ¨no email¨ if you do not have one.)
Your answer
Parent/Guardian #2 Phone Number *
Your answer
Parent/Guardian #2 How do you prefer to be contacted? Please choose all that apply.
Email
Phone call
Text Message
Thank you for your interest in the CCMS Orchestra program. I look forward to speaking with you! If you wish to speak with me sooner, please call Cane Creek Middle School at (828) 628-0824 or email me directly at
samuel.lyons@bcsemail.org
with any questions.
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