Co-Curricular Ensembles Registration

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Please complete this registration form to take part in the many awesome WV percussion ensembles!

First Name. *

Please double check that this is your FIRST name.

Last Name *

Please double check that this is your LAST name.

School I.D. # *

Year In School *

Please list the curricular ensembles (music class) in which you are currently enrolled. *

Please list your primary instrument. *

I would like to join the following percussion groups: *

World Beat (open to anyone in a music class)

Percussion Ensemble (informal placement audition required)

Steelband (tuition fee and must be in World Beat or Percussion Ensemble)

Required

Student Email Address *

Please provide the email address you most often use.

Your Cell Phone Number with area code: *

Parent/Guardian name *

(for emergency purposes)

Parent/Guardian cellphone number: *

(for emergency purposes)

Emergency Contact Name *

Emergency Contact Phone # *

Please acknowledge that you have received and reviewed the schedule for each ensemble, and can fully commit to being a contributing member. *

I agree that I have reviewed the schedule, and by joining I commit to be a contributing member at each rehearsal and performance. I understand that all conflicts must be communicated with the director immediately so that any issues can be resolved in timely fashion with minimal impact to my ensemble.

Required

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