D.C. Everest Middle School Music Sign-up
To be completed by parent with their child. Please submit by February 17th.
Email address *
Student's First Name *
Your answer
Student's Last Name *
Your answer
Gender *
Parent email address *
Please list a valid email address. Almost all communication will come via email. List only one email address.
Your answer
Parent's First & Last Name *
Please list the name(s) of the parent that any mailing info should be sent to (and also the same parent as the email address above).
Your answer
Street Address *
Your answer
City *
Your answer
Zip Code *
Your answer
Phone Number *
Please provide the best phone number to reach you (using the format 717-111-2222)
Your answer
Elementary School *
Classroom Teacher Name *
Type the last name of your teacher this year.
Your answer
Choose a music class *
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