C-N Music Interest Form

Click on the applicable link below:

Student Info

Student First Name

Student Preferred First Name

Student Last Name

Student Birthdate

Student Personal Email Address (NOT SCHOOL EMAIL ADDRESS)

Parent/Guardian E-mail Address

Student Cell Phone

Mailing Address

Country

Street

City

Region

Postal Code

Current School

High School Graduation Year

Instrument & Ensemble Interest

Primary Instrument:

Voice Type

Clarinet Type

Saxophone Type

Trombone Type

Percussion Type

Guitar Type

Secondary instrument(s)?

Secondary Voice Type

Secondary Clarinet Type

Secondary Saxophone Type

Secondary Trombone Type

Secondary Percussion Type

Secondary Guitar Type

Ensembles of Interest:

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