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Music Student Registration Form

Registration Form
  1. Musician's Name(*)
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  2. Musician's Email(*)
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  3. Instrument(*)








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  4. Musician's Date of Birth
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  5. Street Address(*)
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  6. Zip Code(*)
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  7. Musician's Cell
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  8. Parent Name(s) [If Applicable]
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  9. Parent Phone Number [If Applicable]
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  10. Parent Email [If Applicable]
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  11. How Did You Hear About Us?
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  12. School
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  13. What is your musical background? What are you most excited to learn?(*)
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  14. Prove you're human
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