dA Music Camp Application (Aplicacion para el Campmento de Musica del dA)

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Please fill out the following form to apply. All responses will remain private.
Por favor responder a las preguantas siguientes para aplicar. Todas las respuestas quedaran privadas.

Name (Nombre)

Age (Edad)

School Child Attends (Escuela del Nino)

Years of Experience on Violin (Anos que ha tocado el violin)

Less than 1 (Menos de uno)

1-2

3-4

More than 4 (Mas de cuatro)

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Other musical experience (Otra experiencia con musica)

Why does the child wish to attend the summer music camp? (Porque quiere asistir al campamento?)

Please describe the child's financial situation. (Por favor describe la situacion financiera del nino).

Do you read music? (Puedes leer musica?)

Yes (Si)

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Please list the best way to contact you (phone, email, etc). (Que es su informacion de contacto?)

Would you need to borrow a violin? (Necesitas prestar un violin?)

Yes

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Submit

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