| Student Information |
| First Name: |
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| Last Name: |
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| Address: |
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| City: |
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| State: |
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| Zip Code: |
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| Home Phone: |
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| Cell Phone: |
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| Email: |
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| School Information |
| Instrument or Voice Type: |
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| Intended College Major: |
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| High School: |
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| Year in School: |
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| Honors and Awards: |
All-State Ensemble
All-District Ensemble
Region Band/Choir/Orchestra/Jazz Ensemble
"1" Rating at State Music Festival
"1" Rating at District Music Festival |
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