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Instrumental Sign Up
Reminder: Please do not rent or buy an instrument before your instrument assignment is approved by the music teacher.
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* Indicates required question
Email
*
Your email
Student Name
*
Your answer
Parent/Guardian Name
*
Your answer
Parent/Guardian e-mail
*
Your answer
Parent/Guardian phone #
Your answer
Grade as of September
*
Choose
4
5
Instrument 1st choice
*
Choose
Violin
Viola
Cello
Flute
Clarinet
Saxophone
Trumpet
Trombone
Percussion
Instrument 2nd choice
*
Choose
Violin
Viola
Cello
Flute
Clarinet
Saxophone
Trumpet
Trombone
Percussion
Instrument 3rd choice
*
Choose
Violin
Viola
Cello
Flute
Clarinet
Saxophone
Trumpet
Trombone
Percussion
Do you receive lunch assistance free/reduced through the Clifton school district
*
Choose
Yes
No
By participating in the Clifton instrumental program, I acknowledge there will be a commitment of 5-15 minutes of practice every day
*
Yes
Required
By participating in the Clifton instrumental program, I acknowledge students are required to be present for the winter and spring concert
*
Yes
Required
A copy of your responses will be emailed to the address you provided.
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