5th Grade Strings Enrollment Form
Please fill out this form to enroll your student in 5th grade strings. If you have any questions regarding enrollment or class, please contact your school’s strings teacher. rdoss@liberty.k12.mo.us or eanderson@liberty.k12.mo.us
Student First Name
Your answer
Student Last Name
Your answer
Student ID Number
Your answer
Student School
What instrument will your child play?
Please select one.
Who is your child's 5th Grade Classroom Teacher?
Your answer
Parent/Guardian Last Name
Your answer
Parent/Guardian First Name
Your answer
Parent/Guardian Contact email
Your answer
Additional contact email
Your answer
Parent/Guardian Contact Phone Number #1
Example: (XXX) XXX-XXXX
Your answer
Parent/Guardian Contact Phone Number #2
Example: (XXX) XXX-XXXX
Your answer
Emergency Contact Person
First Name, Last Name
Your answer
Emergency Contact Person Phone Number
Example: (XXX)XXX-XXXX
Your answer
T- Shirt Size (Adult Sizes)
Any health concerns that should be noted?
Your answer
I understand that my child will need to be picked up/dropped off at the times indicated for their school. If I am unable to, I will have a a system in place for an alternative ride.
We will contact your emergency contact in order to ensure your child will arrive home safely and in a timely manner.
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