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Youth Orchestra - Mt. Carmel Wellness & Community Center Participation Waiver
Youth Orchestra
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Email
*
Your email
Parent's Name:
*
Your answer
Parent's Phone Number:
Your answer
Family Address:
Your answer
Child's Name:
*
Your answer
Child's Age:
Your answer
Do you have your own instrument?
Yes
No
Clear selection
If you do not have your own instrument, please measure arm length. Mt. Carmel will provide an instrument at no charge for the first 3 months Measure from the neck to the left wrist joint. Make a selection below:
58.5 cm
56 cm
47 cm
42 cm
38 cm
35.5 cm
less than 35 cm
Clear selection
Does your child have any physical, emotional or mental limitations?
*
Yes
No
If you answered yes, pleases describe:
Your answer
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