2017-2018 Fourth Grade Band Registration
Student's First Name *
Your answer
Student's Last Name *
Your answer
Homeroom Teacher *
Parent/Guardian Full Name *
Your answer
Daytime Phone Number *
Please use this format: (123) 456-7890
Your answer
Evening Phone Number *
Please use this format: (123) 456-7890
Your answer
Parent/Guardian Email Address *
I will be communicating regularly via email with parents/guardians of instrumental music students.
Your answer
Second Email Address (only if necessary for your family)
Your answer
Instrument Choice Option One
Our family already owns/has access to the following instrument and my child would like to play it this year in Band.
Instrument Choice Option Two
My child would like to meet with Mrs. Rimlinger to try out several instruments in order to decide which would be the best fit. You may check up to 3 instruments to "test play".
IMPORTANT! PARENT AGREEMENT! *
By checking the box below, I signify that I understand I am responsible for renting an instrument and purchasing the required lesson book and supplies listed on Mrs. Rimlinger's web site by Monday, September 25th. I will encourage my child to practice regularly at home those skills introduced during band lessons.
Required
Parent/Guardian Comments
Please write anything else you would like me to know about your child; for example, any experience your child may already have playing a musical instrument, physical limitations you may be concerned about, or anything else you care to share!
Your answer
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