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Registration Form - Byzantine Music School
Byzantine Music School Romanos the Melodist
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Student's information
First name
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Your answer
Last name
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Your answer
Baptismal name
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Your answer
Date of birth (mm/dd/yyyy)
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Your answer
Gender
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Male
Female
Email address
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Your answer
Cell phone number
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Your answer
Father's name (for minors)
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Your answer
Mother's name (for minors)
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Your answer
Parents' cell phone numbers (for minors - please include both)
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Your answer
Parents' email addresses (for minors - please include both)
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Your answer
Home address (street, city, state, zip)
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Your answer
Emergency contact (other than the parents for minors). Name, phone number, relationship to child
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Your answer
I am a steward of the following parish
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Your answer
Current grade in school/college (if not a student, select "Not a student")
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Choose
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
College
Not a student
Profession (for adults). If not an adult, write NO
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Your answer
Highest education completed (Highest grade lever completed for students)
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Your answer
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