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Conservatory Interest Form
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Email
*
Your email
Primary Guardian's Name (First and Last):
Your answer
Primary Guardian’s Address (including city and state):
Your answer
Primary Guardian's Phone Number:
Your answer
Primary Guardian's Email:
Your answer
Student's Name (First and Last):
Your answer
Student’s Birthday:
MM
/
DD
/
YYYY
How does the student identify their gender?
Male
Female
Non-Binary
Other:
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Student’s grade in the Fall of 2023:
Your answer
Which camp session are you interested in?
*
2 week
3 week
Required
A copy of your responses will be emailed to the address you provided.
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