Elementary Music Student Registration
Parents of elementary students in grades 4, 5, or 6 should complete this form to register students for the 2018-2019 music classes.

Please provide an email address for each person. Most communication is through email.

This information will only be used by the MUSD music teachers to communicate with parents and students. Your information will not be shared or sold to other groups.

Student First Name *
Edward
Your answer
Student Last Name *
Robertson
Your answer
Student ID Number *
5 digit # located on your student Report Card, School ID, and Aeries
Your answer
Student School Email *
Your answer
Who is your classroom teacher? *
Last Name Only
Your answer
Primary Contact First Name *
Michelle
Your answer
Primary Contact Last Name *
Lee
Your answer
Primary Contact Email *
Used to send this form's confirmation email, and as the primary parent email contact.
Your answer
Primary Contact Cell Phone *
408-888-8888
Your answer
Second Contact First Name
Johnathan
Your answer
Second Contact Last Name
Lee
Your answer
Second Contact Email
Your answer
Second Contact Cell Phone
408-444-4444
Your answer
Which elementary school do you attend? *
select one
What grade are you in this year? *
select one
Which instrument do you want to play? *
select one only
Did you play the instrument you selected above in band last year? *
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