MCMC Play-A-Piece Registration
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Email *
Last Name *
First Name *
Parent/Guardian Name 
Phone Number *
I give permission for photo/video to be taken for archival and promotional purposes. *
School and/or Private Teacher
What is your instrument?
What piece will you perform?  You will be notified via email of your performance time a week before the event.
Will you be accompanied? 
Registration Fee *
A copy of your responses will be emailed to the address you provided.
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