HACIENDA School BAND 2019-2020 Registration Form

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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).

Email *

First Name of Student *

Last Name of Student *

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): *

Cell Phone Number (use xxx-xxx-xxxx format): *

Name of 2nd Parent or Guardian (First & Last):

Cell Phone Number (use xxx-xxx-xxxx format):

Mailing Address (Street, Apt. [if applicable], City):

Alternate Email Address:

A copy of your responses will be emailed to the address you provided.

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