Summer Music Registration 2019
Please complete this form to register for the summer music program.  Registration will be complete with a successful payment through EZSchoolPay ( or the submission of a check to Mr. Jordan's attention at the Ed Center.
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Email *
Student Name *
Street Address *
City, State, Zip Code
Home Phone Number *
Parent/Guardian Name *
Parent/Guardian Work Phone *
Emergency Contact during summer program (name & contact number) *
Instrument(s) *
School Attending during 2019-2020 school year *
For which program are you registering? *
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