Lawrence University Academy of Music

New Horizons Registration Form

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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-Fall $120 New Horizons-Winter $120 New Horizons-Spring $120 New Horizons-Full Year $324
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

You will receive verification of your band registration by e-mail. Once verified, payments may be sent to Lawrence Academy of Music, PO Box 599, Appleton, WI 54912-0599 within two weeks to hold your space in the band or orchestra.

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Lawrence Academy of Music
Copyright ©2008 Lawrence University. All rights reserved.
Revised: 11/19/07

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Lawrence University, PO Box 599, Appleton, WI 54912 (920) 832-7000 Contact Lawrence