Prep Winds 22/23 Audition Registration Form
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Student First Name *
Student Last Name *
Student Email (please provide an email address that is known to allow messages from outside the domain. Some school email addresses block our emails.) *
Student Phone Number *
Mailing Address
Street Number *
Apt Number
Street Name *
City *
State *
Zip Code *
Student Gender *
Student Date of Birth (mm/dd/yyyy) *
Student Grade (Fall 2022) *
Guardian 1, Name *
Guardian 1, Email *
Guardian 1, Phone Number *
Guardian 2, Name *
Guardian 2, Phone Number *
Guardian 2, Email *
Instrument *
Please list other instruments you play (e.g., piccolo, english horn, bass clarinet, etc.)
School *
Band Director Name *
Private Instructor Name *
Private Instructor Email Address *
Number of Years Taking Lessons *
Questions, Comments
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