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INSPIRE 101: SONGWRITING - SIGN UP SHEET
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Email
*
Your email
FULL NAME OF APPLICANT
*
Your answer
GENDER
*
Male
Female
DATE OF BIRTH
*
Your answer
PHONE NUMBER
*
NOTE: Please use numbers only. No dashes.
Your answer
MAILING ADDRESS
*
Your answer
SCHOOL
*
Your answer
GRADE
*
Your answer
CLASS YOU ARE APPLYING FOR:
*
Tuesday and Thursday | 4:00pm - 5:00pm | High school
Tuesday and Thursday | 5:00pm - 6:00pm | Middle school
Do you have any physical limitations? If yes, please describe:
Your answer
PARENT/GUARDIAN CONTACT INFORMATION
FULL NAME OF PARENT/GUARDIAN
*
Your answer
PHONE NUMBER OF PARENT/GUARDIAN
*
NOTE: Please use numbers only. No dashes.
Your answer
EMAIL ADDRESS OF PARENT/GUARDIAN
*
Your answer
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