MTV (2017-18) 5th Grade Instrument Sign-up Form
Welcome to our Band/Strings program! The form below officially signs your child up to play an instrument in 5th 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 2017.

If you have any questions, please contact Mrs. White (Band) at jessica.white@htboe.org or Mr. McCabe (Strings) at bill.mccabe@htboe.org

PLEASE COMPLETE THIS FORM BY JUNE 16, 2017.
School
Student's 4th 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
(If undecided, select up to 3 and Mrs. White will meet with your child to select his/her best instrument)
Required
Which instrument vendor/company did you choose?
My child and I have read the attached .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 jessica.white@htboe.org (Band) or bill.mccabe@htboe.org (Strings).
Please refrain from renting your child's instrument until you have received the confirmation email. Thank you.
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