RHS Jazz Musician Contact Information
2010-11 School Year

Please fill out the following information (legibly!) and bring this form with you to your audition at the end of August. Thank you.

Student Name _____________________________________________________

Instrument(s)______________________________________________________

If available, student email address ____________________________________

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Parent/Guardian 1_______________________________________________________

Address__________________________________ City_________________ Zip_______

Home phone_____________________ Other phone_________________ cell work (circle one)

Email address

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Parent/Guardian 2_______________________________________________________

Address (if different)______________________________________________________

Home phone_____________________ Other phone_________________ cell work (circle one)

Email address

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Any special information you'd like to provide about contacting your family?