Name

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* 1. Name

Address, City, State, Zip

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* 2. Address, City, State, Zip

Email

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* 3. Email

Phone

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* 4. Phone

Instrument you plan to play for the competition

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* 5. Instrument you plan to play for the competition

Number of years you've been playing the instrument

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* 6. Number of years you've been playing the instrument

Private teacher (if you have one)

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* 7. Private teacher (if you have one)

Name of high school you attend and grade

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* 8. Name of high school you attend and grade

High school's band director

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* 9. High school's band director

Age on January 22, 2017

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* 10. Age on January 22, 2017

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