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5th Grade Band and Orchestra Sign-Up Form
Contact Information: By filling out this form, you are signing up for the year long program.
* Indicates required question
Student's Full Name:
*
Your answer
Parent/Guardian Name(s):
*
Your answer
Current School:
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Your answer
Current Grade:
*
Your answer
Email
Your answer
Home Address:
*
Your answer
Best Contact Number:
*
Your answer
Emergency Contact (other than parent):
*
Your answer
Relationship to student:
*
Your answer
Requesting Class:
*
Band (Clarinet, Flute, Trombone, Trumpet)
Orchestra (Cello, Viola, Violin)
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