Click the + by Arrow to Sign Waiver then scroll down to complete form.

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Southern Regional Registration

Student First name

Student Last name

What Ensemble?

Honor Chorus

Honor Orff Ensemble

Honor Modern Band

School Student Attends

Music Teacher Name

Parent/Guardian - Chaperone First and Last Name

Parent/Guardian Email

Parent/Guardian Phone

Has the student contract/waiver been signed by Parent/Guardian? (Scroll up and click the + sign)

Yes

No

Participant Fee

$89

First name*

Last name

Email*

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