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Music Scholarship Audition Registration

Fields marked with an asterisk (*) are required.

Music Scholarship Audition Registration
*First name:
*Last name:
*Address:
*City:
*State:
*Zip code:
Email address:
*Phone:
Sex: Male Female
High school:
Graduation year:
Major:
Minor:
*I would like to
audition on:

 Saturday, Jan. 28, 2017 (reservation must be received by Jan. 23, 2017)
 Saturday, Feb. 18, 2017 (reservation must be received by Feb. 13, 2017)

*I would like to audition
in the following area(s):

 Vocal
 Instrumental

Indicate voice part:
Indicate instrument:
If traveling from a distance, what day will you arrive?