Instrumental Music Registration Form - Dutch Ridge Elementary 2019-20
Register your child for instrumental lessons using this form.
Student's Last Name *
Your answer
Student's First Name *
Your answer
Student's grade in school *
Student's Homeroom teacher
Your answer
Student's preferred instrument: *
Please check the instrument your child would most like to play from the following list. You will be asked to give a second choice in the next question.
Student's second instrument choice
Please choose a second instrument, in case your child is undecided. We can provide information about both. We allow all 5th & 6th graders to study an instrument along with chorus, but not two instruments (in school). This is due to the lesson scheduling limitations.
Student's Street Address *
House number, Street name, City, Zipcode - for mailing information home
Your answer
Mother's (or Guardian) full name *
Your answer
Mother's (or Guardian) email address *
We use email to send important information - please make sure you provide an address that you check!
Your answer
Mother's (Guardian) phone number *
Your answer
Father's (or Guardian) full name *
Your answer
Father's (or Guardian) email address *
We use email to send important information - please provide an address that you check.
Your answer
Father's (or Guardian) phone number *
Your answer
Are you interested in a school instrument loan? *
Important information about Instrument Rentals/Loans: The Beaver Area School District has instruments that can be borrowed for the school year. Please talk to Mr. Scanga (Band) or Mrs. Graham (Orchestra) about the terms and responsibilities involved in using a school instrument. Please don’t let financial need keep your son or daughter out of the band or orchestra programs. We can help!
Are you able to attend our Instrumental Music Program Information Night on Tuesday, Sept. 10 at 7:00 pm at Dutch Ridge? *
This is the best time to get information about the rental/loan programs and many other aspects of our programs. However, if you are unable to come that evening, please contact us as soon as possible and we will send information home.
If you are new to the Beaver Area School District, and your child has already started on an instrument included in our program, please let us know the instrument and how long he/she has played:
Your answer
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