Long Branch Instrumental Music Program Registration for School Year 2019 - 2020
Registration form for the 2019 - 2020 Long Branch Instrumental Music Program
Email address *
Student's First Name *
Your answer
Student's Last Name *
Your answer
Grade level for the 2019 - 2020 School Year *
Parent/Guardian's Email Address/Addresses *
Enter if you did not enter email address above, or have an additional address. If you don't use email, please enter phone #
Your answer
What is your first - preference instrument? *
If you are continuing on your instrument, give it first preference
What is your second - preference instrument?
If you are continuing on your instrument, give it first preference
What is your third - preference instrument?
If you are continuing on your instrument, give it first preference
Are you interested in the before school group - Bucket Brigade? (you must play a band or string instrument listed above to participate in this group). Students will be selected in the fall.
Please check all that apply: *
Required
Please use this section to ask me a question, or to tell me a little about your student!
Your answer
A copy of your responses will be emailed to the address you provided.
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