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Summer Jam Registration
Participant Name
*
First
Last
Age
*
Instrument
*
Violin
Viola
Cello
Bass
Level
*
Beginner (1-2 years playing experience, performing in first position and able to perform a one-octave scale.)
Intermediate (3-4 years playing experience, performing in second, third and fourth position and able to perform a two-octave scale.)
Advanced (5 or more years playing experience, performing in all positions and able to perform a three-octave scale. )
Teacher
School Orchestra / Private Orchestra Teacher
Parent / Guardian Name
*
First
Last
Phone
*
Email
*
Address
*
Street Address
Address Line 2
City
State / Province / Region
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