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* 1. Name:

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* 2. Grad/year in school:

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* 3. Email:

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* 4. *If this is the email of a parent/guardian, please indicate the name of your parent/guardian.

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* 5. Instrument:

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* 6. Name of music teacher:

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* 7. Would you like to perform a piece in a masterclass?

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* 8. Do you want to attend the morning or afternoon session?

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* 9. Do you have any allergies or medical conditions of which we should be aware?

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* 10. If YES, please describe:

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* 11. Do you want to attend the evening concert at 7:30pm?

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* 12. If yes, how many tickets will you need?

Questions? Contact Dr. Véronique Mathieu : veronique.mathieu@usask.ca

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