Orchestra Enrollment Form
This form is intended for current third and fourth grade students enrolling in first year/beginning orchestra for the upcoming 2018-2019 school year.
Student First Name *
Your answer
Student Last Name *
Your answer
Parent/Guardian #1 Full Name *
Your answer
Parent/Guardian Primary Email Address *
A confirmation email will be sent to this address after form is submitted.
Your answer
Parent/Guardian #1 Phone Number
Your answer
Parent/Guardian #2 Full Name
Your answer
Parent/Gardian #2 Primary Email Address
Your answer
Parent/Gardian #2 Primary Phone Number
Your answer
Address
Your answer
City
Your answer
Zip
Your answer
Current School *
Current Grade *
Current Homeroom Teacher *
Your answer
School in 2018-19 *
Please select your first, second, and, third instrument preference.
The choices are Violin, Viola, Cello, and Bass.
First Choice *
Second Choice *
Third Choice
Are you on free or reduced lunch, and therefore eligible for use of a district owned instrument?
Here's how I plan to get my student's instrument and materials: *
My child takes piano lessons. For how long?
(optional)
Your answer
My child plays a stringed instrument. Which one and for how long?
(optional)
Your answer
I own a stringed instrument. If so, which one?
(optional)
Your answer
Is there any other information you would like us to know about your child?
Your answer
Contact Information
Feel free to contact your child's orchestra teacher if you have any questions or concerns.
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