New Horizons Registration Form

Please check the New Horizons description for dates, times and registration information.

Please provide the following information to register for New Horizons:

Name
Gender	Female Male
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
E-mail
Home Phone
Work Phone
Cell Phone
New Horizons Ensemble	New Horizons Band New Horizons Orchestra
New Horizons session	New Horizons-Winter $125 + $3 reg fee New Horizons-Spring $125 + $3 reg fee
Instrument preferred	Flute Clarinet Oboe Bassoon Saxophone French Horn Trumpet Trombone Euphonium/Baritone Tuba Percussion Violin Viola Cello String Bass
Do you own an instrument?	Yes No
I can read music (0=no, 5=advanced)	0 = no 1 2 3 4 5 = advanced
I remember how to play the instrument	0 = no 1 2 3 4 5 = advanced
Helpful comments

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You will receive verification of your band registration by e-mail. Once verified, payments may be sent to Lawrence Academy of Music, 711 East Boldt Way SPC 4, Appleton, WI 54911, within two weeks to hold your space in the band or orchestra.

Lawrence Academy of Music
Copyright ©2011 Lawrence University. All rights reserved.
Revised: 11/29/11

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