Registration
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Studio 237 Music Registration Form
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denotes required fields
Referral Information
How did you hear about us?
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facebook
Festival
friend
Newspaper Ad
Other
Referral
relative
Website
Referral Name
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Family Information
Family Last Name
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Where do you live?
Home Address
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City
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State
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AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
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MO
MS
MT
NE
NC
ND
NH
NJ
NM
NY
NV
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
PR
VI
Zip
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Primary Phone
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Additional Info
Emergency Contact Info
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Contact #1
Contact #1 First Name
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Last Name
*
Type
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adult
Doctor/Physician
Father
Grandparent
Guardian
Husband
Mother
Nanny
Other
Parent
self
sponsor
Step Father
Step Mother
wife
How Can We Contact You?
Home Phone
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Work #
Cell #
Receive Text Message Notifications. By opting in, you agree to receive SMS messages from STUDIO 237 MUSIC. Standard message and data rates apply. Reply STOP to opt out
Portal Access (your email is your login)
Email
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(Emails are kept confidential)
Confirm Email
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Portal Account Password
Confirm Portal Account Password
Contact #2
Contact #2 First Name
Last Name
Type
adult
Doctor/Physician
Father
Grandparent
Guardian
Husband
Mother
Nanny
Other
Parent
self
sponsor
Step Father
Step Mother
wife
How can we contact you?
Home Phone
*
Work #
Cell #
Receive Text Message Notifications. By opting in, you agree to receive SMS messages from STUDIO 237 MUSIC. Standard message and data rates apply. Reply STOP to opt out
Email
(Emails are kept confidential)
Confirm Email
Student #1
Student's First Name
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Last Name
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Student Gender
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Female
Male
Other
Birth Date
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Additional Info
T-Shirt Size
7
7 wide
8
8 wide
Adult Large
Adult Medium
Adult Small
Adult X-Large
Adult XX-Large
Child Large
Child Medium
Child Small
Child X-Small
School
Grade Level
preschool
kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
10th grade
11th grade
12th grade
college
college-freshman
college-sophomore
college-junior
college-senior
Unknown value
Special Needs (Leave blank if NONE)
Allergies (Leave blank if NONE)
Student #2
(Show-Hide Details)
Student's First Name
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Last Name
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Student Gender
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Female
Male
Other
Birth Date
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Additional Info
T-Shirt Size
7
7 wide
8
8 wide
Adult Large
Adult Medium
Adult Small
Adult X-Large
Adult XX-Large
Child Large
Child Medium
Child Small
Child X-Small
School
Grade Level
preschool
kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
10th grade
11th grade
12th grade
college
college-freshman
college-sophomore
college-junior
college-senior
Unknown value
Special Needs (Leave blank if NONE)
Allergies (Leave blank if NONE)
Student #3
(Show-Hide Details)
Student's First Name
*
Last Name
*
Student Gender
*
Female
Male
Other
Birth Date
*
Additional Info
T-Shirt Size
7
7 wide
8
8 wide
Adult Large
Adult Medium
Adult Small
Adult X-Large
Adult XX-Large
Child Large
Child Medium
Child Small
Child X-Small
School
Grade Level
preschool
kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
10th grade
11th grade
12th grade
college
college-freshman
college-sophomore
college-junior
college-senior
Unknown value
Special Needs (Leave blank if NONE)
Allergies (Leave blank if NONE)
Student #4
(Show-Hide Details)
Student's First Name
*
Last Name
*
Student Gender
*
Female
Male
Other
Birth Date
*
Additional Info
T-Shirt Size
7
7 wide
8
8 wide
Adult Large
Adult Medium
Adult Small
Adult X-Large
Adult XX-Large
Child Large
Child Medium
Child Small
Child X-Small
School
Grade Level
preschool
kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
10th grade
11th grade
12th grade
college
college-freshman
college-sophomore
college-junior
college-senior
Unknown value
Special Needs (Leave blank if NONE)
Allergies (Leave blank if NONE)
Student #5
(Show-Hide Details)
Student's First Name
*
Last Name
*
Student Gender
*
Female
Male
Other
Birth Date
*
Additional Info
T-Shirt Size
7
7 wide
8
8 wide
Adult Large
Adult Medium
Adult Small
Adult X-Large
Adult XX-Large
Child Large
Child Medium
Child Small
Child X-Small
School
Grade Level
preschool
kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
10th grade
11th grade
12th grade
college
college-freshman
college-sophomore
college-junior
college-senior
Unknown value
Special Needs (Leave blank if NONE)
Allergies (Leave blank if NONE)
Add Another Student
Required Policies
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I Agree to All of the Above
Enter your Full Name
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January 27, 2025
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