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Ensemble Registration Form
Fill out one form per ensemble student.
The Convention Ensemble Deadline is February 20.
The Early Elementary Ensemble Deadline is March 23.
Student Information
Association
Performances
Choose performances
Local only
Convention only
Local and convention
Don`t know
Ensemble:
Choose ensemble
Early Elementary (local performance only): Race Car Boogie
Elementary: Pretzels
Intermediate: Juba Dance
Advanced: Carmina Burana
Don`t know
Ensemble Part:
Choose part
Primo (Part 1)
Secondo (Part 2)
Don`t know
If known
Student`s Last Name
Student`s First Name
Grade in School
Number of years in ensemble
Choose a Number of years in ensemble
1 year (this is my first year)
2 years
3 years
4 years
5 years
6 years
7 years
8 years
9 years
10 years
11 years
12 years
Students in the intermediate and advanced ensembles may choose to perform on other instruments besides piano.
List other instruments played
Street Address
City
State
Zip Code
Home Phone
Cell Phone
*Contact email
Required
Parents`/Guardians` names
Alternate email
Theory Test Date
Choose Theory Test Date
Fall
Spring
Not applicable
Theory score, if known
Teacher`s name
Last name, first name
Check all conventions in which the student participated in ensemble.
2018 Waco
2017 Dallas
2016 Dallas
2015 Houston
2014 Houston
2013 DFW
2012 DFW
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?
Have you received your pin?
No. This is my first time.
No. I did not receive my pin last year.
Yes.
Yes, but I lost it. I need a replacement pin and bars.
Yes, but I am missing some bars.
List the years of any missing bars
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