PS1 21-22 Registration
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Email *
Class: *
Has your student played this instrument before? *
If "yes", for how long?
If available, would you like to rent an SMYO instrument?
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STUDENT INFORMATION
Student's name: *
Student's date of birth: *
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Gender: *
T-shirt size: *
PS1 class: *
GUARDIAN INFORMATION
Primary Guardian Name: *
Primary Guardian Email: *
Primary Guardian Phone Number: *
Guardian #2 Name: *
Guardian #2 Email: *
Guardian #2 Phone Number: *
HOUSEHOLD INFORMATION
Home Address (Street, City, State, Zip Code)/Dirección familiar : *
ACKNOWLEDGEMENTS
I, the guardian, allow SMYO to take pictures/videos of events hosted by SMYO and any related event activity. This material may be used for public relation news articles, education, advertising, research, including on SMYO's website, fundraising, or any other tasteful purpose. Students' identities will not be published unless otherwise agreed to by guardian. I agree to fill out all end of semester feedback surveys. *
Guardian Authorization: All information in this application is accurate to the best of my knowledge. *
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