Dunbar Middle School Band Private Lesson Enrollment Form
Please complete this form ONLY if you are enrolling your student in the Dickinson Gator Band Private Lessons Program. Upon completion of this form, your information will be sent to the private lesson teacher for your child's instrument.

Enrollment in the Dickinson Gator Band Private Lesson Program is a YEAR LONG commitment.

Please e-mail Mrs. Delgado at rdelgado@dickinsonisd.org for any questions or concerns about private lessons.

Student Name (Last, First)
Your answer
Instrument
Parent/Guardian Name
Your answer
Parent/Guardian E-mail Address
Your answer
Parent/Guardian Phone Number (555-555-5555)
Your answer
Additional Notes to the Private Teacher
Please include any scheduling requests or conflicts. Note that teachers will do their best to accommodate but may not be able to fulfill all requests.
Your answer
Once you hit the SUBMIT button, you are agreeing to enroll your student in private lessons for the duration of the school year. If you have questions, please e-mail Mrs. Delgado at rdelgado@dickinsonisd.org
Submit
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