J.S.U. A Day With the Boom
Please complete the following
Student Name (First and Last) *
Frequently Used E-mail Address (ex. Johndoe@gmal.com) *
Gender *
Instrument *
Student Grade Level *
High School *
State (Type full name of state) *
Student Guardian/Parent Name(s) *
STUDENT Cell Phone Number *
PARENT Cell Phone Number *
Does the student have any medical conditions? If so, what is it/are they. *
Rank your playing ability (your opinion) *
Poor
Exceptional
Which part do you currently play in your band? (Ex. 1st Trumpet) *
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