INSTRUMENTAL MUSIC ENROLLMENT FORM
Please, give the requested information. Update as needed.I will check responses to address any concerns, questions or requests.
Student FIRST Name:
Student LAST Name:
Select one, please.
Barnaby Manor Elementary School
Apple Grove Elementary School
Grade in the new school year.
Homeroom Room Number/Teacher
What instrument does your child play?
String Bass *
Eb Alto Saxophone
How many years has your student played the instrument?
Select one, please.
Played and stopped.
Do you already own this instrument?
Click on the link below to see the Supply List from my website,
. If you have questions, email me at
, call me at 30l-758-6620, or list them in the space below.
Getting the Instrument
Explain your instrument situation by selecting the best answer from below. Cello and bass students are expected to rent an instrument to be kept at home for home practice. The cello/bass students will be able to use the school cello or bass during the school day for class work. They will need to bring their home use cello or bass for the performances, however.
Rent from a music store (See list on this website of area stores at this link:
Buy from a music store(See list on this website of area storesat this link:
Need to use a school owned instrument (Student Instrument Loan Form needed from Mrs. Williams)
Parent Cell Phone:
Parent Work Phone:
Parent Email Address:
What do you want me to know about your child in order to teach her/him more effectively?
For instance, some children have trouble waiting to use the restroom when they realize they have to go. I have a special pass for that.Think about vision, special needs and other information that I might not notice right away.
About learning an instrument...
While many children experience great joy and minimal difficulty in the learning if the instrument, some struggle through the entire year for various reasons. Still, much can be gained in terms of character building and fortification of your child's ego. Parental support in the form of email notes, text messages, phone calls to me is welcomed. I usually reply within 24 hours.
Does this child have a sibling at this school who plays an instrument ?
If so, please give the child's name.
Parents who are musicians or singers...
If you sing or play an instrument, please share about that.
In what other musical activities is your child involved?
Think about things the child has done or is presently doing on a regular basis.
Other singing/music organizations outside of school
Previous knowledge/instrumental lessons.
If your child has previously studied an instrument for 6 months or longer, please select below.
My child has never played another instrument.
Important Understandings for Parents and Students
Please, remember that Instrumental Music lessons are a PULL-OUT class in elementary school. Grades are in SchoolMax. There is a report card grade issued every grade period, and there are Interim Progress Reports given each grade period. The grade is based on attendance, classwork, assessments, performances, bringing supplies every time, and taking the instrument home each day for home practice. Additionally, students are expected to practice a minimum of 15 days per month at home on the assigned homework.
Your questions or concerns for me...
What is a concern for you with regard to your child's participation in this program?
This is a year long course. Students who enroll are expected to participate in the class from September 20l6 through August 20l7
Type your name in the second box to confirm that you have read this.
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