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* 1. Student Details

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* 2. Instrument Details

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* 3. YouTube URL Link 1 (please include name of composer & piece)

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* 4. YouTube URL Link 2 (please include name of composer & piece)

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* 5. I wish to apply for a scholarship for (please skip question if you do not wish to apply for a scholarship)

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* 6. I, the parent/guardian of the above-named student give permission for him/her to be photographed, filmed or interviewed during the ACO Education event by both ACO and news media. Please note: parent/ guardian will be required to sign a media permission form upon acceptance

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* 7. Music Teacher (School or Private) Details:

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* 8. Please provide a brief statement of your student's performance/ ensemble experience:

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* 9. How did you find out about ACO Academy?

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* 10. Education Enewsletter (leave blank if you wish to be apart of the mailing list)

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