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South Regional Modern Band Honor Ensemble
Complete this form for each student Nomination. No fees for submission!
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Email
*
Your email
Student First Name
*
Your answer
Student Last Name
*
Your answer
Music Teacher First Name
*
Your answer
Music Teacher Last Name
*
Your answer
Name of School
*
Your answer
Parent /Guardian Name First Last
*
Your answer
Parent/Guardian Email Address
*
Your answer
Parent/Guardian Cell Phone
*
Your answer
What instrument does the student play?
*
Vocals
Guitar
Piano/Keyboard
Bass
Drum Set
Student Ranking 1= Top/Best of the Nominees
5= Weakest of the Nominees
*
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1
2
3
4
5
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