Lionel Hampton School of Music Preparatory Division Registration Form
Student Last Name *
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Student First Name *
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Parent 1 Last Name *
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Parent 1 First Name *
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Parent 2 Last Name
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Parent 2 First Name
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Desired Instrument *
Parent Email *
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Address 1: Street Number, Street Name, Apartment Number (if applicable) *
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Address 2: City, State, and Zip Code *
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Phone Number (please include area code) *
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Emergency Contact Name, Phone Number *
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