Registration Form
Myrtle Beach Flute and Trumpet Intensive 

Date: Sept 4-5th 2026 @ Coastal Carolina University Edwards Recital Hall
Friday, Sept. 4th: 4:30-8:30pm
Saturday, Sept 5th: 8am-8pm

$150/person
Non-Refundable-- DUE BY AUGUST 28TH
Checks: Jessica Pelltier
Venmo: @Jessica-Pelltier-24
Apple Pay: 724-712-1904
Zelle: 724-712-1904
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Name *
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(If under 18 years of age) Parent/Guardian Name:
(If under 18 years of age) Parent/Guardian Phone number 
Emergency Contact:
(name, relation, phone number)
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Any Allergies to be aware of? (Food Specifically): *
Please list any Medical Conditions that we should be aware of:
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