Milpitas H.S. Music - New Student Registration
All student who are not currently in the Milpitas High Band, Orchestra or Color Guard should complete the form below.

Please DO NOT list the same phone number or email address more than once on this form.
If you do not have a home phone number, cell phone, or email address please leave the box blank.

Please provide an email address for each person. Most communication is through email.

This information will only be used by the Milpitas High Music Department. Your information will not be shared or sold to other groups.

Student First Name
Edward
Your answer
Student Last Name
Robertson
Your answer
School ID#
xxxxx
Your answer
Birth Month
Birth Day
Birth Year
Student Gender
Required
What grade are you in right now?
select one
Your Mailing Address
1285 Escuela Pkwy
Your answer
City
Zip Code
95035
Your answer
Home Phone
408-555-5555
Your answer
Student's Cell Phone
408-464-5555
Your answer
Student's MUSD Email
Your answer
Student Personal Email
name@emailprovider.com (do not list your school email here)
Your answer
Choir Part
AP Music Theory
You must also get Ms. Moore's signature on your AP form
Orchestra - Preferred Instrument
Concert Band - Preferred Instrument
All Band Students
Pep Band - Preferred Instrument
Home Football Games and Band Concerts Only
Marching Band & Color Guard - Preferred Part
audition required - significant after school commitment required
Jazz Band ?
I am interested in auditioning for this class - Only Trumpet, Sax, Trombone, Bass, Piano, Guitar, & Drums
What additional instruments can you play?
optional: select all that apply
Mother/Guardian Relationship to you
Select one
Mother/Guardian
Select one
Mother/Guardian First Name
Barbara
Your answer
Mother/Guardian Last Name
Lee
Your answer
Mother/Guardian Cell Phone
408-888-8888
Your answer
Mother/Guardian Email
Your answer
Does your Mother/Guardian have the same mailing address?
Required
Father/Guardian Relationship to you
Select one
Father/Guardian First Name
Johnathan
Your answer
Father/Guardian Last Name
Lee
Your answer
Father/Guardian Cell Phone
408-444-4444
Your answer
Father/Guardian Email
Your answer
Does your Father/Guardian have the same mailing address?
Submit
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