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Orchestra/DSOMA Registration

A form to register all program students for DSOMA use.

This form should be completed by all students participating in the Emerson-Da Vinci and Harper Jr. High Orchestras.

 

The Red Square indicates information required for completion of the form.

Student Orchestra Information
(Required)
Student's First Name
(Required)
Student's Last Name
(Required)
Which School Does The Student Attend?



(Required)



(Required)
In Which Orchestra Is The Student Enrolled?




(Required)
Instrument Played In Class




If different from the above
Private Instructor Contact Info (If Applicable)
First and Last Name
Student Contact Information
(Required)
(Required)
(Required)
(Required)
Home phone number with Area Code
(Required)
Parent or Guardian 1 Information
(Required)
(Required)
(Required)
(Required)
Home phone number with Area Code
(Required)
Cell phone number with Area Code
(Required)
Parent/Guardian 1
Parent or Guardian 2 Information
Home phone number with Area Code
Cell phone number with Area Code
Parent/Guardian 2

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