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
Vegetarian *
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
Music Class/Group *
Select ALL classes that you plan to take next year.
Required
Choir Part *
Orchestra - Preferred Instrument *
Marching Band, Pep Band & Color Guard - Preferred Part *
ALL Band and Color Guard students
Concert Band - Preferred Instrument *
ALL Band Students
Jazz Band ? *
I am interested in auditioning for this class - Only Trumpet, Sax, Trombone, Bass, Piano, Guitar, & Drums
AP Music Theory *
You must also get Ms. Moore's signature on your AP form
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? If not, write address below. *
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? If not, write address below. *
Submit
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