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Music Student Registration Form

Musician's Name(*)
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Musician's Email(*)
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Instrument(*)

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Musician's Date of Birth
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Street Address(*)
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Zip Code(*)
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Musician's Cell Phone
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Cell Number Preferred

Musician's Home Phone
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Parent Name(s) [If Applicable]
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Parent Phone Number [If Applicable]
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Parent Email [If Applicable]
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Promotional Code
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How Did You Hear About Us?

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School
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How Did You Hear About Us? OTHER
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What is your musical background? What are you most excited to learn?(*)
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