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Student First Name
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Student Last Name
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Parent 1 First Name
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Parent 1 Last Name
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Parent 2 First Name
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Parent 2 Last Name
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Student Instrument
Flute
Clarinet
Alto Sax
Tenor Sax
Trumpet
Trombone
Baritone
Percussion
Oboe
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Choice of class to attend
Tuesdays, 3:30-4:30 at Harvest Park with Mr. Borris
Wednesdays, 3:45-4:45 at Pleasanton Middle School with Mr. Pedroni
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Email Address 1 (Please type carefully)
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Email Address 2 (Optional, please type carefully)
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