Unit 10 Elementary Summer Band
Collinsville Middle School
9649 Collinsville Rd.
Collinsville, IL 62234
(618) 343-2100 ext. 2184 or ext. 2185
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Student's Name
School Attended
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Home Address
Grade Student will be in 2008 - 2009
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City
Zip Code
Instrument Played
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Phone Number
Parent Signature
We would have a conflict with the following
day(s)_______________________________and time
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Mail registration form to the address above. Deadline: Friday, May
16, 2008.
Or email Mr. Hawkins with the above information:
bhawkins@kahoks.org