Rousseau Orchestra Registration Form

您的瀏覽器尚未啟用 JavaScript，因此無法開啟檔案。請於啟用後重新載入頁面。

Sign up for 4th and 5th Grade Orchestra with this form! If you have any questions please email Mrs. Delaney: mlee@lps.org

電子郵件 *

Last Name *

First Name *

Student ID *

Homeroom teacher: *

Grade *

Address *

Zip Code *

Daytime phone number *

Instrument *

Violin

Viola

Cello

Bass

1/4 Violin

1/2 Violin

3/4 Violin

4/4 Violin

11" Viola

12" Viola

13" Viola

14" Viola

1/4 Cello

1/2 Cello

3/4 Cello

4/4 Cello

1/8 Bass

1/4 Bass

1/2 Bass

Unknown: Contact teacher for sizing information

Parent Email *

What plan will you make to get an instrument? Contact Mrs. Delaney if you need help making a plan! mlee@lps.org *

I will rent an instrument from a local vendor

My student qualifies for free or reduced lunch and I would like to apply for a fee waiver violin (only violins are available for fee waiver).

將我的回應複本寄給我。

提交

清除表單

請勿利用 Google 表單送出密碼。

reCAPTCHA

這份表單是在 Lincoln Public Schools 中建立。檢舉濫用情形