| I want to attend: |
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| Name: |
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| Address: |
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| City: |
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| State: |
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| Zip: |
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| Phone: |
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| Email: |
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| Spend Night in Residence Hall: |
Yes
No
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| High School/College: |
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| Graduation Date: |
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| Academic Interests/Proposed Major: |
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| Fine Arts Interest: |
Art
Band
Choir
Drama
Fine Arts
General Music
Instrumental Bass
Instrumental Percussion
Instrumental Strings
Instrumental Woodwinds
Orchestra
Piano
Vocal Alto
Vocal Bass
Vocal Soprano
Vocal Tenor
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| Instrument(s) Played: |
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| Athletics Interest: |
Athletics
Baseball
Basketball
Cross Country
Football
Golf
Soccer
Softball
Tennis
Track
Volleyball
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| Sport/Position(s) Played: |
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| I would like to audition for a grant in: |
Art
Music
Theatre
Athletics
I would like to audition at a later time |
Number of guests I will bring
(in addition to myself): |
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