REGISTRATION FORM

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Name(s)__________________________________________________________School____________________

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Emergency Contact________________________________________________Phone____________________

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Fee: $150 for one child_________________$250 for two or more children in same family____________

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Tshirt size (please circle)

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Child     S    M     L 

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Adult     S    M      L 

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Make check payable to:  The Music Staff

PO Box 9519

Cincinnati, OH 45209

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PLEASE MAIL BY JULY 15