West Briar Band Registration Form
View & Print the West Briar Middle School Band Syllabus - http://westbriarband.org/docs

Please complete a separate form for each student that you have in the West Briar MS Band Program. Thanks!

The information collected in this form will only be used to contact Parents and Students regarding activities related to the West Briar Middle School Band Program. Your information will not be shared with any other individuals, groups, or organizations. This online form was created in an effort to reduce the use of paper. Thank you! ~Mr. Hall

STUDENT INFORMATION
What is the student's FIRST name? *
Your answer
What is the student's LAST name? *
Your answer
What is the student's ID Number? *
Your answer
What grade is the student? *
What is the Student's Birthdate? *
MM
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DD
/
YYYY
What is your student’s t-shirt size? *
Which band is your student in? *
What is your student's primary instrument? *
STUDENT'S HOME ADDRESS
Please provide the home mailing address.
Home Street Address? *
Your answer
City? *
Your answer
Zip Code? *
Your answer
STUDENT'S EMAIL ADDRESS
Please create an email address for your student if he/she does not already have one. We will be using this email address to create a SmartMusic account for your student. Students will need to know how to access their email account and know the password and username for their account. Free email accounts are available through many services including gmail.com and outlook.com
What is your student's EMAIL address? *
Your answer
PARENT 1 INFORMATION
What is the Parent's FIRST name? *
Your answer
What is the Parent's LAST name? *
Your answer
What is the Parent's EMAIL address? *
Your answer
What is the relationship to the student? *
What is the Parent's phone number (no dashes)? *
Your answer
PARENT 2 INFORMATION
(OPTIONAL)
What is the 2nd Parent's FIRST name?
Your answer
What is the 2nd Parent's LAST name?
Your answer
What is the 2nd Parent's relationship to the student?
What is the 2nd Parent's phone number (No Dashes)?
Your answer
What is the Parent's EMAIL address?
Your answer
Media Release for West Briar MS Bands
Do you grant permission for photos or videos of your student to appear on the West Briar Middle School Website and Social Media sites? The photos and videos will be used for educational and promotional purposes for the West Briar MS Band program. Student names will not be associated with the media. *
PARENT VOLUNTEER INFORMATION
Are you interested in Chaperoning Field Trips for the Bands? *
Are you interested in assisting with Fundraising Activities? *
Do you have any specific skills, interests, or talents that could benefit the West Briar Middle School Band Program? (ex. fundraising experience, catering/cooking, professional musician, carpentry skills, etc.)
Your answer
Please contact Mr. Hall if you have any questions, concerns, or ideas. Thank you! lhall8@houstonisd.org
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