Clark High School Orchestra - Student Profile
Email address *
Student Last Name *
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First Name *
Your answer
Period Orchestra (check all periods you are enrolled) *
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Student ID Number *
Your answer
Grade *
Birthday *
MM
/
DD
/
YYYY
Home Address
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Student e-mail address
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Student phone
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Parent(s) Name
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Parent phone
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Parent(s) Occupation(s)
Your answer
Main Instrument *
How many years have you played?
Your answer
Your current piece or Book?
Your answer
Do you study privately?
Name of your private teacher, and phone number?
Your answer
Do you own your own instrument or do you need to use a school instrument?
Do you play other instruments? If so, list them...
Your answer
List all school clubs/sports/activities that may conflict with orchestra event:
Your answer
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