MDJH Instrumental Music Registration Form
If you are registering for more than one ensemble you only need to register this information once.
First Name *
Last Name *
Grade and Homeroom *
Homeroom Teacher *
Main Instrument *
The one you intend on playing in Band.
Please indicate the ensemble(s) you choose to participate in this year. *
Required
Secondary Instruments
Please indicate any other instruments you play.
How many years have you been playing your principal instrument (the one you will play in band/strings)?
Did you play in school band last year?
Do you take lessons? If so, who is your teacher?
Are you involved in any other music outside of school?
Student Cell Phone Number *
To receive reminders about rehearsals and other important information using the app REMIND 101. A parent/guardian phone number is fine as well.
Parent/ Guardian Contact Name *
Parent/ Guardian Email Address *
Phone Number *
MEDIA RELEASE
In order to share some of the great things happening at our school we sometimes post images of our students on our school website or on twitter.
I give permission for my child's image and/or name to be shared on social media to help promote the music program. *
Please indicate any allergies or conditions we should be aware of.
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