**Please complete this form in its entirety.

**You will receive email confirmation of your student's place in the workshop.

**Workshop dates: JUNE 17, 18, 19, 20, 21, 6:30-8:30, concert Friday night at 7:30
(we've had to change our usual dates/times due to snow days and school scheduling.)

**Location: Lincoln-Way Central HS Music Department

**Please MAIL or DROP OFF PAYMENT of $50 (cash or check payable to LWHS) to:
Lincoln-Way Central HS
ATT: Mr. Bultman
1801 E. Lincoln Hwy
New Lenox, IL 60451

**Your student's place is NOT reserved until payment is received.

**Questions or concerns: Mr. Mike Bultman, lwc_choirs@yahoo.com 815/462-2306

Email address *
Student's Last Name *
Your answer
Student's First Name *
Your answer
Grade that student will be ENTERING in the fall of 2019 *
School that student attends CURRENTLY *
Your answer
Parent name(s) *
Your answer
Parent email *
Your answer
Parent cell phone *
Your answer
May I have your permission to add your phone number to the A Cappella Workshop REMIND text group? Numbers will be private. *
Please briefly describe student's musical background (instruments played, chorus, theater, etc.) *
Your answer
In general, how well does the student read printed music? *
If the student has been in chorus before, what voice part or parts have they sung? (Check all that apply.) *
Student t-shirt size (all shirts are adult sizes) *
Is there any other information that might be helpful for us to have?
Your answer
A copy of your responses will be emailed to the address you provided.
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