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First Name
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Last Name
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Date Of Birth
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Home Phone
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Address
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City
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Zip
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Parent Name - First
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Parent Name - Last
*
Parent Email
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Parent Work Phone
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Parent Cell Phone
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Student Email
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Grade in Fall '09
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School Name
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City
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Zip
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Semesters in CVYS
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1st Instrument Choice
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years played
2nd instrument choice
Years Played
Have you participated in:
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State Honors Band
Yes
No
years
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State Honors Orchestra
Yes
No
Years
Solo ensemble competitions - When
What class level did you play?
Other competitions:
CVYS wants to ensure all students have access to this enrichment opportunity; therefore, there are financial scholarships available . Please check this box if you are requesting a scholarship.
I request a scholarship
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