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Letter to Adults
Summer 2019 semester registration
*
Indicates required field
Name
*
First
Last
Address
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Line 1
Line 2
City
State
Zip Code
Country
Band Instrument
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Phone Number
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Cell/Emergency number
*
Email
*
Email (optional 2nd address)
*
Student-age musicians: Parent name(s)
*
Student-age musicians: School you attend
*
Photo Release Electronic Signature
*
PHOTO CONSENT/RELEASE. (For those under 18, this must be signed by parent/guardian.) I hereby grant permission to The Aerophone Band Corp. to take and use: photographs and/or digital images of me/my child for use in news releases and/or educational materials. These materials might include printed or electronic publications, web sites or other electronic communications. I authorize the use of these images without compensation to me. All negatives, prints, digital reproductions shall be the property of Aerophone.
Additional information
*
Please include any other information we should have about your child. Or let us know if you have any questions. Thank you.
Submit & Pay
