2017-2018 Band Program Enrollment Form
Classes start on Monday, September 11, 2017 and end on May 18, 2017. There will be 33 weeks of the program on Mondays, Wednesdays and Fridays. There will be sereval concert throughout the school year. Instruments include: clarinet, trumpet, trombone, flute, french horns and drums.

The band program at Saint Columbkille will take place 3 days per week on:

Mondays from 2 pm to 2:45pm (Brass Ensemble and Percussion Ensemble)
Mondays from 4pm to 5pm (Woodwind Ensemble: Flute, Clarinet, Saxophone)

Wednesdays from 2 pm to 2:45pm (Brass Ensemble: Trumpet, Trombone, French Horn and Percussion Ensemble)
Wednesdays from 3 pm to 4pm (Woodwind Ensemble)

Fridays from 3 pm to 5pm (Full Ensemble)

The program will be $600 per year payable in full or in 10 monthly payments of $60.00 and includes band T-shirts for the Saint Columbkille Concert Band.

Method Books
Every student enrolled in the instrumental music program needs to have a method book and a 1/2inch binder.
• Beginner: Standard of Excellence Book 1
• Intermediate: Standard of Excellence Book 2

Email address
STCPS Band- Race to Educate Pep Rally 2017
Student Last Name
Your answer
Student First Name
Your answer
Student Grade
Student's Homeroom Teacher:
Your answer
T-shirt size
For the Williams and the Gershwin Ensemble
Parent First and Last Name
Your answer
Parent email
Your answer
Parent phone number
Your answer
List any other instruments that your child plays:
Your answer
Is your child attending the Homework Club? Please check NO or the day(s):
Is there any information you can provide about how your child learns best?
Your answer
Instrument 1st choice
Instrument 2nd choice
Does your child already play an instrument?
Instrument your child plays
Your answer
Is he/she proficient in reading music?
Is he/she currently studying with an instructor?
Is so, please list the name of the teacher in the OTHER box:
Cost of the band program for 33 weeks, 3 times per week (excluding early release days and holidays).
Should the bill be posted on the parent's payment plan or is there another responsible party that should be billed?
List the name of the OTHER responsible party (must have an active FACTS payment plan for 16-17) that needs to be billed.
Cancellation Policy
All withdrawals from the program must be made in writing by emailing musicprogram@stcps.org at the latest by September 25, 2017, or there will be a 50% cancellation fee.
A copy of your responses will be emailed to the address you provided.
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