2021-2022 Freeman Band Student Information
Last Name *
First Name *
Grade in the 2021-2022 School Year *
When is your birthday? *
MM
/
DD
/
YYYY
Primary Instrument *
Secondary Instrument (Answer this only if you play a second instrument in the DSF Band)
Parent/Guardian Last Name: *
Parent/Guardian First Name: *
Parent email address (1): *
Parent email address (2):
Do you have an instrument at home? (Your own personal instrument, an instrument you are renting from a music store or a school-owned instrument) *
Do you have a school-owned instrument at home? (This includes marching band instruments) *
Do you need to sign out a school-owned instrument? (This is usually only applicable to larger instruments - Tubas, bari sax, bass clarinets, etc. - but we do have some instruments that we can lend out to students who need them). *
Are you currently taking private lessons? *
If you are taking private lessons, who is your private teacher?
Next
Never submit passwords through Google Forms.
This form was created inside of Henrico County Public Schools.