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Student Name

School you currently attend or will attend next year?

What year in school are you entering this fall?

Parent(s) Name

Best Contact Phone (preferably a parent's phone number if you are a student)*

Email address*

Home Address

What instruments do you own? Check all that apply.

What ensembles do you currently play flute in?

Since snacks are provided, does your student have any allergies we should know about?

What method of payment will you be using for the deposit of $100?*

Select an option

Do you have any further questions for me?

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