Student Registration Form Student First Name * Student Last Name * Student Gender * Student Ethnicity * Student Age * Student Birthday * MM DD YYYY Student T-Shirt Size * Select YS YM YL YXL AS AM AL AXL Program * Select Prelude 1 Prelude 2 Rhapsody DYSO Instrument * Instrument Teacher * Years of Study * School or Homeschool Cover * Grade * Primary Contact * First Name Last Name Street Address * City, State, Zip * Phone * (###) ### #### Email * Secondary Contact * First Name Last Name Street Address * City, State, Zip * Phone * (###) ### #### Email * Emergency Contact * First Name Last Name Phone * (###) ### #### Photo Consent/Publication Release * Students appearing in photos/video may be used for marketing and promotional material or on our website/social media I agree Thank you for registering! Check your email for important follow up information.
