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Ensemble Registration Form
Fill out one form per ensemble student.
Student Information
Ensemble Part:If known
Student`s Last Name
Student`s First Name
Grade in School
Number of years in ensemble
Students in the intermediate and advanced ensembles may choose to perform on other instruments besides piano.
List other instruments played
Street Address
Zip Code
Home Phone
Cell Phone
*Contact emailRequired
Parents`/Guardians` names
Alternate email
Date of Required Theory Test
Theory score, if known
Teacher`s nameLast name, first name
Check all conventions in which the student participated in ensemble.
2017 Dallas Hyatt
2016 Dallas Hyatt
2015 Houston Hyatt
2014 Houston Hyatt
2013 DFW Hyatt
2012 DFW Hyatt
2011 Arlington
2010 Arlington
2009 Houston
2008 Houston
2007 Grapevine
2006 Grapevine
2005 San Antonio
2004 San Antonio
I don`t know
Have you received your ensemble pin?
List the years of any missing bars
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