Clio Beginning Band Registration
Any current 4th Grade students planning on particpating in beginning band next year should fill out the form below!

Please use an email that you check regularly, as this will be our main form of communication!

Email address *
I understand that this form is being filled out by a parent or guardian 18 years of age or older, and that this electronic document can be used for official school data collection purposes. *
Parent/Guardian First Name *
Parent/Guardian Last Name *
Best Parent Phone Number (000-000-0000) *
Best Alternative Parent Phone Number (000-000-0000) *
Alternative Email Address (other than what was filled out at the top of the form) *
Student First Name *
Student Last Name *
Student ID Number (ex. 001234) *
What Elementary School does your student attend? *
Mailing Address *
City *
Zip Code *
Instrument Preference
Please know that there may be a chance your student does NOT get placed on their top instrument preference. This is purely to give us an idea of how many students are interested in each instrument.

Instrument selection will be finalized when students are fitted for instruments by Port Huron Music and the directors come August.
Student 1st Instrument Choice *
Student 2nd Instrument Choice *
Would you like to be considered for a switch to Saxophone in 6th Grade? (Must play clarinet in 5th Grade) *
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