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* 1. Name (Last, First)

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* 2. Age on November 23rd, 2019

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* 3. Address

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* 4. Phone number

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* 5. Email

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* 6. Piano Teacher’s Name

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* 7. Teacher’s phone numer

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* 8. Composition (title and composer)

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* 9. Which division are you entering?

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* 10. T-shirt size

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