Event registration for St. Mary Youth Music Workshop

Event Date: August 11th, 2018
Event Time: 11 AM to 5 PM
Who can Attend? All Youth ages 11-18 or Grades 6th to 12th are invited to attend.
Event Location: St. Mary of The Purification Catholic Church
Check in and Dismissal will be in Room 100 in the church.
Event Address: 3006 Rosedale Street, Houston, Tx 77004
Contact us at (713) 423-4575 or bahamfelicia@gmail.com

First and Last Name *
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Email *
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Age / Grade
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Best Phone # to reach you *
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Parent or Gardian Name & Contact number
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Area of Interest
Do you play an instrument? If so what instrument?
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If not, would you like to play an instrument and what would you like to play?
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Do you have any food Allergies? *
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If yes, Please Specify
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Dietary restrictions *
I understand that this is a FREE Program *
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