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Central Regional Registration

Student First Name

Student Last Name

Which Ensemble? *

Honor Choir

Orff Ensemble

Name of School

Name of Music Teacher

Parent/Guardian Chaperone First and Last Name

Parent/Guardian Cell Phone

Parent/Guardian Email

Click Here to Complete Waiver

Click Yes to Confirm Waiver is complete. *

Yes

Participant Fee is $79

Thanks for registering!

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Cell Phone

First name

Last name

District

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