2022 Panther Regiment Intent to March Form

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Completing this form officially enrolls you in the Panther Regiment's 2022 season, and reserves your spot in our show. This form should be submitted by June 1st, 2022.

If you have any questions, you may contact Mrs. Johnson at jacqueline.johnson@orange.k12.nc.us.

Student Information

Student First Name: *

Student Last Name: *

Student Email Address: *

Student Phone Number (###-###-####) *

Select your grade for the 2022-2023 school year: *

Select your instrument: *

Student t-shirt size: *

Please select any dietary restrictions (if applicable):

Vegetarian

Vegan

Kosher

Halal

Gluten-free

Other:

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