2025-26 Flute and Violin Club Registration Form

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Flute and Violin Club is open to 5th graders on Mondays after school from 4 PM - 5 PM. There will be an open house for parents/guardians and interested students on October 13, 2025 from 4 pm - 5 PM. First class begins on Monday, October 20 and runs on Mondays after school until June 1, 2026.

Email *

Child First

Child Last

Teacher Name *

Mrs. Fullerton

Mrs. Klein

Mrs. Peekel

Mrs. Schmidtman

Parent Name

Best Parent Contact Email Address (For Communication)

Parent Contact Phone

Emergency Contact Name and Phone

How will your child go home after the club?

I will pick up my child at 5 pm.

My child has permission to carpool home (answer question below).

Other:

I grant permission for my child to carpool with the following families:

My child is interested in the:

Flute Club

Violin Club

Not sure yet

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Send me a copy of my responses.

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