Southern California Flute Camp
July 17-22, 2017

Neighborhood Church of Long Beach
3435 San Anseline Ave, Long Beach, CA 90808

Student Full Name *
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Student Age *
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Parent Full Name *
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Address *
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City *
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State *
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Zip *
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Student Phone
If available.
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Parent Phone *
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Student Email
If available.
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Parent Email
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How long has student been playing the flute?
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Does student have a Private Instructor? If so, Private Instructor's Name:
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Recent or current example of flute repertoire:
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Any Allergies?
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Who will be dropping off and picking up student? *
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Camp T-shirt Size: (Warning - Youth sizes are for younger/petite children)
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