Southern Registration Form | FEMEA Resources

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Southern Regional Registration

Student First Name

Student Last Name

Which Ensemble? *

Honor Choir

Orff Ensemble

Modern Band

Audience Seats Needed

1 Seat

2 Seats

3 Seats

3+ Waiting List

Name of School

Name of Music Teacher

Parent/Guardian Chaperone First and Last Name

Parent/Guardian Chaperone Cell Phone

Parent/Guardian Chaperone Email

Link to Waiver in new Tab

Click Yes to confirm Waiver is Complete *

Yes

Participant Fee is $89

Thanks for registering!

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Cell Phone

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Last name

District

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