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Summer Music Institute 2017 - Online Registration Form

1. You must answer all the below questions that have a red asterisk.

2. After submitting the below information, go back to the OCMEA website and print out and mail in a completed MEDICAL FORM (found on the same page as the mail-in registration form), along with your PAYMENT.

3. Make checks payable to: OCMEA.

4. Mail the medical form and payments to: OCMEA SMI, C/O A. Contzius, 10 Van Wyck Court, Wallkill, NY 12589

5. You will receive a follow up email acknowledging the receiving of your completed online registration form.

6. Email any questions to:

1. Student's First Name *
Your answer
2. Student's Last Name *
Your answer
3. Parent/Guardian First and Last Name *
Your answer
4. Full Mailing Address *
Your answer
5. Parent/Guardian's Daytime Phone Number *
Your answer
6. Parent/Guardian's Evening Phone Number *
Your answer
7. Parent/Guardian's Email Address (write NONE if you do not have one) NOTE: This is only used for SMI purposes and is not given out to any other organizations or companies.) *
Your answer
8. Which grade will your child be entering in the Fall of 2017? *
9. Which group(s) does your child want to participate in? *
10. What primary instrument or voice part applies to your child? *
11. How many years of experience on instrument or voice has your child completed noted in question 10? *
12. What additional instrument does your child play proficiently? (select NONE if they do not play any other instrument) *
13. How many years of experience on instrument or voice has your child completed noted in question 12? (select NONE if you selected NONE in 12. *
14. School Attended in 2016 - 2017 (e.g. Troy Hills Elementary School) *
Your answer
15. School District this school part of: *
16. If you answered OTHER in question 15 type the school district's name (otherwise skip this question)
Your answer
17. (optional) Private Teacher's Name
Your answer
18. T-shirt Size (All shirts are in ADULT sizes) *
19. (optional) Explain any special needs we should be aware of?
Your answer
20. (optional) if you have any further questions type them here so we can email you the answers.
Your answer
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