Cedar Valley Band IMIP Student/Parent Application
Student Name
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Name of Parent, Guardian or Sponsor
Your answer
Address
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City
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Zip Code
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Contact Phone Numbers - Primary
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Secondary
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Email address
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Instrument *
Your answer
Advisory Teacher *
Your answer
Advisory Period *
Does your student currently have a teacher? *
If they already have a teacher, please provide their name.
Your answer
Band Period *
When would your child be available for lessons? (Check all that apply)
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