Student Information Section
Student First Name:
Student Last Name:
Current Grade Level:
--None--
06
07
08
09
10
11
12
Transfer From:
--None--
Other (see notes)
Benicia MS
Brandeis Hillel Day School
Branson
Casa Grande High School
Davidson MS
Del Mar
Drake High
Dunham Academy
Gallinas MS
Hall MS
Hill MS *
Home School
Jim Bridger Homeschool
Kenilworth Junior High
Kittredge
Maria Carrillo HS
Marin Acadamy
Marin Catholic
Marin Country Day
Marin Horizon
Marin Primary
Marin School
Marin Waldorf
Mary Collins at Cherry Valley
Miller Creek
Mill Valley MS
MSAT *
NHS *
Nicasio
Northbay Christian Academy
Nova *
Novato Charter *
Oracle
Our Lady of Loretto
Out of Area
Out of State
Overseas
Pathways Charter
Petaluma Junior High
Petaluma High
Redwood HS
Ring Mountain
Ross School
San Andreas HS
Saint Raphael
San Andreas HS
San Domenico Upper School
San Francisco Waldorf
San Jose *
San Marin *
San Rafael HS
Sinaloa *
Sonoma Country Day School
Sonoma Valley Charter
St. Marks
St. Vincent's HS
St Hilarys
St Ritas
Terra Linda HS
Tomales
West Marin Middle school
White Hill
First MSA Academic Year:
--None--
2008-2009
2009-2010
2010-2011
2011-2012
Preferred Shadow Day:
--None--
Thursday, October 4, 2007
Thursday, October 25, 2007
Thursday, November 15, 2007
Thursday, December 6, 2007
Thursday, January 17,2008
Thursday, February 7, 2008
Thursday, February 28, 2008
Programs and Interests Section
MSA Programs Interest 1:
Please select a Program :
--None--
Creative Writing
Dance
Film & Video
Visual Arts
Instrumental Music
Musical Theatre
Theatre Arts
Vocal Music
Then select all interests that apply for that
Program in the box below (hold down Control/Command key while selecting
multiple)
Optional - MSA Programs Interest 2:
Please select a Program :
--None--
Creative Writing
Dance
Film & Video
Visual Arts
Instrumental Music
Musical Theatre
Theatre Arts
Vocal Music
Then select all interests that apply for that
Program in the box below (hold down Control/Command key while selecting
multiple)
Instruments:
Please select all that apply
(hold down Control/Command key while selecting multiple)
Alto Sax
Baritone Horn
Baritone Sax
Bass Clarinet
Bassoon
Cello
Clarinet
Double Bass
Drums
Electric Bass
Flute/Piccolo
French Horn
Guitar
Oboe
Other (see notes)
Percussion
Piano / Keyboards
Soprano Sax
Tenor Sax
Trombone
Trumpet
Tuba
Viola
Violin
Parent
Information Section ( * =
required field)
Contact Parent First Name:
*
Contact Parent Last Name:
*
Parent Email:
If you use email, please provide your email address
Home Phone:
*
Please enter as (xxx)xxx-xxxx
Mobile Phone:
Business Phone:
Street Address:
City:
State/Province:
Zip Code:
Why are you interested in MSA?
*
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