Home People Places Programs Feedback Join our FREE Email Mailing List 21445 Catawba Avenue Cornelius, NC 28031 Ph: 704-896-2460, Ext 399 info@corneliuspr.org Please complete the information below.   Applicant's First Name Applicant's Middle Initial Applicant's Last Name Applicant's Mailing Address Applicant's City Applicant's State Applicant's Zipcode Applicant's Phone Number Applicant's Birthdate Parent/Guardian First/Last Name Email What instrument does the applicant play? Where has the applicant studied music (check all that apply)  Public School  Private School  Home School  Individual Private Lessons  Other If applicant has taken private lessons, please provide the instructor's name or business and phone number. Proficiency Level (select one)  Beginner  Intermediate  Advanced How many years has the applicant played? To help us avoid computer generated inquiries and spam, please enter the letters and numbers exactly as you see them in the box below. Reload Image
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