HACIENDA School BAND 2019-2020 Registration Form
Please complete and submit this Registration Form by Monday, October 21, 2019 to enroll. Classes begin on Tuesday, October 22nd, and end on May 12th, 2020.
Once this form is submitted, a PayPal Request for Payment will be emailed to you at the email address you provide.
Tuition is $250 for both Beginning and Advanced Bands (cost of instruction book included).
* Required
Email address
*
Your email
First Name of Student
*
Your answer
Last Name of Student
*
Your answer
Grade Level (Choose one):
*
4th Grade
5th Grade
Level of Band (Choose one):
*
Beginning Band (for students with little to no experience)
Advanced Band (for students who have prior experience and successfully auditions)
Choice of Instrument (Choose one):
*
Flute
Clarinet
Saxophone
Trumpet
Trombone
Percussion
Name of Parent or Guardian (First & Last):
*
Your answer
Cell Phone Number (use xxx-xxx-xxxx format):
*
Your answer
Name of 2nd Parent or Guardian (First & Last):
Your answer
Cell Phone Number (use xxx-xxx-xxxx format):
Your answer
Mailing Address (Street, Apt. [if applicable], City):
Your answer
Alternate Email Address:
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of San Jose Youth Symphony.
Report Abuse
Forms
