2018-19 Mountain Area Elem. Band and Orchestra Registration
Email address *
Elementary School *
What school does your student attend?
Student Grade *
What grade will your student be in for the 2018-19 school year?
What band or orchestra instrument will your student play? *
Please select an orchestra or band instrument from the list below
Did your student play the same instrument last year? *
Select NO if in 4th grade.Select YES only if your student is playing the SAME instrument in 5th grade as they did in 4th grade.
Student Last Name *
Type in your student's Last name
Your answer
Student First Name *
Type in your student's First name
Your answer
Parent/Guardian Last Name *
Type in the parent/guardian Last name
Your answer
Parent/Guardian First Name *
Type in the parent/guardian First name
Your answer
Contact Phone #1 *
Type in preferred contact phone number
Your answer
Contact Phone #2
Type in secondary phone
Your answer
Student's Homeroom Teacher
Type in your student's Teacher's Last Name
Your answer
Parent/Guardian Email
Please supply an Email address
Your answer
Other Comments
Please use the space below to ask a specific question or supply additional information.
Your answer
For students at Elk Creek, Marshdale, West Jefferson and Wilmot Elementary: Pull-Out Program-I understand I am voluntarily enrolling my student into the band or orchestra program at his/her school for the 2018-19 school year. I understand that this is a pull-out program where my student will attend two 30 minute sessions a week instead of their regular classroom schedule. My student will be responsible for any missed work in the regular classroom in addition to the responsibilities of the band or orchestra class. Students are expected to promptly attend and adhere to the band and orchestra class schedule. *
Please read and acknowledge by checking the box below
All Schools: Participation and Attendance-I understand that once enrolled, my student's attendance in band or orchestra class and at performances (concerts) is mandatory. I understand this graded class will appear on my student's report card. Attendance and active participation in class and performance affects my student's grade in band and orchestra. In addition, to the two regular weekly rehearsal classes, I agree that my student will attend ALL of the performances and special after school rehearsals listed on the Mountain Area Band and Orchestra web-site as of August 30, 2018. *
Please read and acknowledge by checking the box below
Materials and Equipment-I understand that I am responsible for securing a curriculum supported instrument for my student and that the instrument must be kept in proper repair for my student to have a quality experience. Additionally, I understand that the method book, "Essential Elements, book 1" is the required text and my student may occasionally need upkeep supplies (reeds, valve oil, etc) which I am responsible for providing. *
A copy of your responses will be emailed to the address you provided.
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