MTV (2019-20) 4th Grade Instrument Sign-up Form
Welcome to our Band/Strings program! The registration form below officially signs your child up to play an instrument in 4th grade. After completing this form, you are responsible for obtaining an instrument, music book, and correct instrument accessories for your child. Your child's instrument lessons will begin in September of 2020.

If you have any questions, please contact Mrs. White (Band) at or Mr. McCabe (Strings) at
School *
Student's 3rd Grade Teacher *
Student's First Name *
Your answer
Student's Last Name *
Your answer
Parent/Guardian First Name *
Your answer
Parent/Guardian Last Name *
Your answer
Parent/Guardian Relation to the Child *
Parent/Guardian e-mail *
Your answer
Home Phone Number *
Your answer
Cell Phone Number *
Your answer
Work Phone Number *
Your answer
Best contact number to reach you *
Instrument Choices
Select the instrument your child is interested in playing (If undecided, select up to 3 and Mrs. White will meet with your child to select his/her best instrument) *
Select a second choice instrument your child is interested in playing, in case their first choice is not available. *
Which instrument vendor/company did you choose? *
My child and I have read the linked .pdf letter "Instrument FAQ" containing the expectations and responsibilities, and understand that our commitment to the Band or Strings program is for the entire school year. *
Parent/Guardian e-Signature *
Your answer
Since school is no longer in session for the summer, you will receive a follow-up email within 2-4 weeks of submitting this form to confirm your child's participation in the Band/Strings program. If you do not receive a confirmation email after that time frame, please try re-submitting your sign up form or email us directly at (Band) or (Strings).
Please refrain from renting your child's instrument until you have received the confirmation email. Thank you.
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