Mighty Marlin Band Sign up Form
In grades 3-6, your child finally has the opportunity to do what so many successful students have done before them. Be Part of the Band! Every destination starts with a decision to embark on a journey. Now is the time to start your child in music and Mariners is the place to do it.

Please take a brief moment to fill out the information below so your child can BE PART of the BAND!

Email address *
Student First Name *
Your answer
Student Last Name *
Your answer
Classroom Teacher's Name *
Classroom teacher's name
Your answer
Grade level *
Parent Guardian #1 *
first/ last name
Your answer
parent email #1 *
Your answer
Contact Number
Your answer
Parent Guardian #2
first/last name
Your answer
Contact Number
Your answer
parent email #2
Your answer
Acquiring an Instrument
It is important to understand that one of the most important parts of getting your child off to a successful start is having a quality instrument. If you have not yet purchased or rented an instrument, we will be having an instrument rental night. Representatives from a local music store will be on-site to assist you with purchases and rentals. Please bring check and credit card info and your driver’s license.
All students need their instrument in class by (September 26). If you have any questions, please contact me at tfairbanks@nmusd.us
How will you acquire an instrument?
Choose an instrument that you would like to play ( 1st choice) *
Depending on availability you may receive one of the three
Choose an instrument that you would like to play ( 2nd choice) *
Depending on availability you may receive one of the three
If you played last year, what did you play?
Depending on availability you may receive one of the three
A band, by definition, is a wind ensemble that compromises of woodwinds( i.e.flute), Brass (i.e. trumpet) or percussion ( i.e. drums). Here are a list of instruments we will not do in band. Due to logistical issues. These instruments are not choices. Violin, Electric Bass, Guitar,Ocarina, and Digeridoo. Please contact me with any questions.
Your answer
We will need parent volunteers to come to concerts to help. Please let me know if you are able to *
Parent consent form
1. Participation in the Pacific Chorale Academy is a semester-long commitment; please sign up only if you are committed to attending all rehearsals.
2. All students must be nominated by their music teacher. Nominations must be approved by the students’ classroom teacher and principal.
3. To remain in the program, students must maintain good standing academically.
4. To remain in the program, students must maintain good standing behaviorally.
5. Students are expected to faithfully and responsibly participate in all practices and performances with a positive cooperative attitude. Attendance at all rehearsals and concerts is mandatory. Any
absences must be excused with written parent permission. Students will be dropped from the program after 3 unexcused absences in a semester.
6. Students are encouraged to wear the Pacific Chorale Academy shirt and school uniform pants/skirts for all performances.
Permission to Release Pupil Information:
I give the NMUSD permission to release information, images, and/or voice recordings of my student(s) as described below: District Website !!! And/ Or Press, television, or other news media !!(may request information concerning participation in school programs or winning of honors or awards)
My voluntary contribution will be given by *
Do I have your permission to give release of images to...? *
Maintaining the instruments
We ask for a donation of $60 for the maintenance of the instruments and to provide instructional materials for the band class. Students will be provided a t-shirt, book and starter supplies to aid in their growth. They will also receive challenges on their instrument for home practice. No child is ever turned away due to finances. Please let me know of any financial challenges that may prevent you from donating before the first day of class. Make checks payable to " Mariners Elementary School Foundation"
Never submit passwords through Google Forms.
This form was created inside of Newport-Mesa USD. Report Abuse - Terms of Service