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- Student Date of Birth*
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- Does the student have a cell phone and/or a personal email address?*
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Format: (000) 000-0000.
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- Student Gender Identity*
- Student Pronouns*
- Student Race/Ethnicity (check all that apply)*
- Household Income*
- Primary language spoken at home*
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- Are you currently renting, or will you need to rent an instrument?*
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Format: (000) 000-0000.
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Format: (000) 000-0000.
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Format: (000) 000-0000.
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- Does your child have any behavioral/learning/physical differences or disabilities? (ex. ADHD, Autism Spectrum Disorder, Hearing Loss, Anxiety, etc.)*
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- By checking off the following items I (parent/guardian) hereby give permission for a Santa Fe Symphony staff member to administer the marked over-the-counter medications or generic equivalents. Dosage will be administered according to directions on the product. I also permit student 13 years old or older to self-administer their own over-the-counter medication in the presence of an adult.*
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- Would you like to volunteer with the Santa Fe Symphony Orchestra and Chorus after-school music ensembles?*
- Volunteering Interest(s)*
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Format: (000) 000-0000.
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- Did you select "Need Financial Aid"?*
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- Are you interested in signing up for Private Lessons?*
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- Date*
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- Should be Empty: