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Teupha Week | June 2023
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Teupha Day Registration | March 25th
Student Name
Student Email
School Name
Student Grade (Spring 2023)
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Instrument
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Musical Awards/Honors
Private Lesson Teacher (if applicable)
Band Director
T-Shirt Size (*Some sizes are now out of stock for 2023 - If you select one of those you will recieve a camp shirt from a previous year and be given this year's shirt at a later time)
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Have You Attended a Teupha Event Before?
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Pertinent Medical Info
Parent/Guardian Name (Primary Contact)
Parent/Guardian Email (Primary Contact)
Parent/Guardian Phone Number (Primary Contact)
Emergency Contact Name
Emergency Contact Relationship
Emergency Contact Phone Number
I accept the terms & conditions of the
Media Release Consent Form
I accept the terms & conditions of the
Cancelation/Refund Policy
Do you have any questions or comments?
Go to Checkout
Thanks for registering for Teupha Day. See you on March 25th!
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