2018 Middle School Summer Band Registration Form
Middle School Band registrations are accepted up to the date your session begins.

Please note: The grade levels listed for the class options are the grade the student WILL ENTER in the Fall of 2018.

There will be NO CONFIRMATION of enrollment notices for MMS band registrations. Completion of this application ensures your placement in the class.

Your instrument must be assigned by Mr. Fuller prior to registration.

Email address *
Student's Last Name *
Your answer
Student's First Name *
Your answer
Student's Current Grade *
Required
If student is currently in 5th grade, please indicate the 5th grade teacher's name.
Your answer
Student's School *
Required
Parent/Guardian Name *
Your answer
Parent/Guardian Address *
Your answer
Email address *
Your answer
Home Phone (xxx) xxx-xxxx *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact's relationship to student *
Your answer
Emergency Contact's phone (xxx) xxx-xxxx *
Your answer
Please indicate your choice below. 6th Grade Band sessions run August 13 through Aug 24, Monday through Friday (10 days). **Book needed: A) "Tradition of Excellence Book 1" for all instruments except percussion; or B) "The Performing Percussionist" for percussion players.
Grades 7, 8, 9 Band Ensemble runs June 25 through June 29, 10:00 a.m. to noon, Monday through Friday (5 days).
Please indicate the instrument you will play in Middle School Summer Band. (Your instrument must be assigned by Mr. Fuller prior to registration.) *
Required
If "Other" was chosen above, please indicate instrument below.
Your answer
I understand that regular attendance is expected for all summer school classes. I understand that the regular school rules apply during the summer school program and if a student chooses not to follow those rules, parents will be contacted and the student removed from the class. *
Required
A copy of your responses will be emailed to the address you provided.
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