"Students in Concert" Application 2021-22
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Email *
I. Student Information
First Name *
Last Name *
Current School *
Current Grade *
Instrument *
Primary Contact for Parent/Guardian
First Name *
Last Name *
Relationship *
Cell Phone *
Home Phone
* If applicable
Email *
Address Line 1 *
Address Line 2
City *
State *
Zip Code *
Secondary Parent/Guardian Contact
First Name
Last Name
Cell Phone
Address Line 1
* Enter if different from primary Parent/guardian
Address Line 2
Zip Code
What activities does your child participate in outside of school that could conflict with S.I.C.? (sports, scouting, etc..) *
Does your child have an adequate place to practice their instrument? *
How many days a week does your child practice their instrument at home.? *
When your child practices, how long is their practice sessions? *
Will you be able to assist your child in developing and maintaining a consistent home practice schedule? *
There is a $20 registration fee for the SIC program. (please read the confirmation page for more information) *
Selecting "Agree" will serve as your signature to this form. Thank you for taking the time to support "Students in Concert"
by selecting "Agree" you are enrolling your child in S.I.C. You also acknowledge that there is an expected attendance commitment to the program. Your child is expected to commit to attending the program from October 25, 2021 until the conclusion in early March 2022. It is unacceptable to ask for weeks off do to conflicts with sports and other activities outside of school related events. Multiple absences will result in your child being removed from the program. *
A copy of your responses will be emailed to the address you provided.
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