East Hartford Public Schools Elementary Instrumental Music Lessons Sign-up Form (open September 2018)
You may rent a school-owned instrument from the East Hartford Public Schools. There are a limited number of instruments available at a cost of $40.00 per school year. To have the best chance of renting your first choice instrument, sign up as soon as possible.

Questions or need help with translation? Contact your child's instrumental teacher:

ROBERTA COLLINS: collins.rl@easthartford.org
Band: Goodwin, Silver Lane, O'Brien, Langford

ERWIN JAMES: james.ee@easthartford.org
Strings: O'Brien, Pitkin, Mayberry, Langford

DANA SACCOMANO: saccomano.dm@easthartford.org
Strings: O'Connell, Norris, Silver Lane, Goodwin

JULIE SPAGNESI: spagnesi.jo@easthartford.org
Band: O'Connell, Mayberry, Norris, Pitkin

Student First and Last Name *
Your answer
Student ID Number, if known
Your answer
Parents Name *
Your answer
School *
Grade *
Teachers Name *
Your answer
Parent/Guardian CELL Phone Number (PLEASE add if you have one. Teacher to parent calls/texts will be made throughout the school year to keep you informed of music events.)
Your answer
Parent/Guardian HOME Phone Number
Your answer
Parent/Guardian WORK Phone Number
Your answer
Parent/Guardian Email Address (PLEASE add if you have one. It will be used for teacher-parent communication.)
Your answer
Will this be your child's 1st, 2nd or 3rd year playing an instrument? *
What instrument did your child play last year? *
I would like to: *
If renting from school you may pay by CASH OR MONEY ORDER only. Please make money orders payable to the East Hartford Public Schools. No personal checks will be accepted. Please turn money in by September 21 to classroom teacher or school secretary with child's FULL NAME, CLASSROOM TEACHER & BAND OR ORCHESTRA clearly marked on a closed envelope.
1ST Choice Instrument (3rd grade may choose ONLY violin, viola or cello) *
2ND Choice Instrument (3rd grade may choose ONLY violin, viola or cello) *
Music Lesson Materials: 4th and 5th grade only (choose one):
Thank you for signing up your child to play an instrument this year!
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