Co-Curricular Ensembles Registration
Please register by Friday, September 20 to take part in the many awesome WV band ensembles!
First Name. *
Please double check that this is your FIRST name.
Your answer
Last Name *
Please double check that this is your LAST name.
Your answer
School I.D. # *
Your answer
Year In School *
Please list the curricular ensembles (music class) in which you are currently enrolled. *
Your answer
Please list your primary instrument. *
Your answer
I would like to join the following percussion groups: *
Required
Student Email Address *
Please provide the email address you most often use.
Your answer
Your Cell Phone Number with area code: *
Your answer
Parent/Guardian name *
(for emergency purposes)
Your answer
Parent/Guardian cellphone number: *
(for emergency purposes)
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone # *
Your answer
Please acknowledge that you have received and reviewed the schedule for each ensemble, and can fully commit to being a contributing member. *
Required
Submit
Never submit passwords through Google Forms.
This form was created inside of Indian Prairie School District. Report Abuse