4th Grade Elementary Instrumental Program Registration Form (2018-2019 School Year)

This form must be completed by Friday, June 15th in order for your child to participate in the instrumental program during the 2018-2019 school year. All instruments and lesson books need to be obtained by Friday, September 14th.

Rental instruments can be obtained through our preferred supplier Zeswitz Music Store http://www.zeswitzmusic.com/ or consult the instrumental teachers with specific questions about an alternate supplier.

Student First Name *
Your answer
Student Last Name *
Your answer
Student Address *
Your answer
Parent/Guardian Name #1 *
Your answer
Parent/Guardian Name #2
Your answer
Home Phone Number *
Your answer
Elementary School *
Email Address *
Your answer
String Instrument Selection
Band Instrument Selection
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