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Mailing List for Classicopia Summer Chamber Music Camp
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Student First Name
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Student Last Name
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Date of birth
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Pronouns
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He/Him
They/Them
Name/Name's
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Age as of August 8, 2022
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Instrument
Violin
Viola
Cello
Piano
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Private Instructor Name and Contact Information (phone and email)
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Parent Name(s)
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Preferred Email Address(es) for Contact
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Cell Phone(s) (Please indicate student/parent for each)
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Questions/Comments
Optional: include a link to videos of student playing (two contrasting pieces)
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