KIS Band Student Information 2019-2020
Please complete this form and submit the written agreement by Thursday, August 8, 2019 . Be sure to inform the instructor of any changes. Unless you request otherwise, your contact information may be shared with the Kailua Intermediate School Band Booster Board Members in order to facilitate communication regarding upcoming events, collection of permission forms, instruments, or payment for supplies.
Student's First and Last Name *
Your answer
Student's Grade Level *
Student's Mailing Address (Street Number, City, Zip Code): *
Your answer
Student's Home Phone: *
Your answer
Father/Guardian's Name (type "n/a" if not applicable): *
Your answer
Father/Guardian's Work Phone: *
Your answer
Father/Guardian's Cell or Home Phone: *
Your answer
Father/Guardian's Email Address: *
Your answer
Mother/Guardian's Name (type "n/a" if not applicable): *
Your answer
Mother/Guardian's Work Phone: *
Your answer
Mother/Guardian's Cell or Home Phone: *
Your answer
Mother/Guardian's Email Address: *
Your answer
Is it acceptable for this student to study, listen to, and perform Christmas music? Circling no means that you agree to accept alternate assignments instead. *
Is it acceptable for this student to study, listen to, and perform patriotic music (e.g. God Bless America, Star Spangled Banner)? Circling no means that you agree to accept alternate assignments instead. *
Is it acceptable for this student to study, listen to, and perform sacred/spiritual music (e.g. When the Saints Go Marching In, Amazing Grace)? Circling no means that you agree to accept alternate assignments instead. *
My child and I read, understand, and agree to the terms and conditions included in the Syllabus and Band Handbook. My child and I have signed the written Syllabus Agreement. *
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