Elementary Music Student Registration
Parents of elementary students in grades 4, 5, or 6 should complete this form to register students for the 2018-2019 music classes.
Please provide an email address for each person. Most communication is through email.
This information will only be used by the MUSD music teachers to communicate with parents and students. Your information will not be shared or sold to other groups.
Student First Name
Student Last Name
Student ID Number
5 digit # located on your student Report Card, School ID, and Aeries
Student School Email
Who is your classroom teacher?
Last Name Only
Primary Contact First Name
Primary Contact Last Name
Primary Contact Email
Used to send this form's confirmation email, and as the primary parent email contact.
Primary Contact Cell Phone
Second Contact First Name
Second Contact Last Name
Second Contact Email
Second Contact Cell Phone
Which elementary school do you attend?
What grade are you in this year?
Which instrument do you want to play?
select one only
Flute (5th and 6th grade only)
Trombone (5th and 6th grade only)
Alto Sax (2nd and 3rd year students only)
Percussion (2nd and 3rd year students only. Must have music teacher approval.)
Did you play the instrument you selected above in band last year?
Never submit passwords through Google Forms.
This form was created inside of MUSD.