Re-Registration Form
Student Information
Name *
Your answer
*
Address, City, State, Zip Code *
Your answer
Cell phone
Your answer
Home phone
Your answer
Email Address
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Grade in school as of Fall 2018
Your answer
Name of School
Your answer
Please explain any accessibility needs or challenges we should be aware of
Your answer
Area of Interest: Instrument(s), Private lesson/Ensemble/Class *
Your answer
Optional: Student race/ethnicity information is often requested by funding sources. Your help would be greatly appreciated!
Please check here if you DO NOT want the student's photo used in CMSS publications/website
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