Willow Glen Elementary School BAND 2019-2020 Registration Form
Please complete and submit this Registration Form by Monday, September 16, 2019 to enroll. Classes begin on September 16 and end on May 15th.

Once this form is submitted, a PayPal Request for Payment will be emailed to you at the email address you provide.

Tuition is $275 for Beginning Band and $320 for Advanced Band (cost of instruction book included).

Email address *
First Name of Student *
Your answer
Last Name of Student *
Your answer
Grade Level (Choose one): *
Level of Band (Choose one): *
Choice of Instrument (Choose one): *
Name of Parent or Guardian (First & Last): *
Your answer
Cell Phone Number (use xxx-xxx-xxxx format): *
Your answer
Name of 2nd Parent or Guardian (First & Last):
Your answer
Cell Phone Number (use xxx-xxx-xxxx format):
Your answer
Mailing Address (Street, Apt. [if applicable], City):
Your answer
Alternate Email Address:
Your answer
A copy of your responses will be emailed to the address you provided.
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