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West Broward Performance Ensemble

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Student First & Last Name

Student Email

Phone

Parent First & Last Name

Parent Email

Phone

Select amount

10 - $10

20 - $20

35 - $35

100 - $100

300 - $300

500 - $500

Purpose (ex. Indoor Percussion, Winter Concert)

Your Signature

Notes/Comments

Thank you!

Thanks for submitting!

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