5th Grade Band Registration Form 22-23

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Student First Name *

Student Last Name *

School *

FAIR-Pilgrim Lane

Forest Elementary

Lakeview Elementary

Meadow Lake Elementary

Neill Elementary

Noble Elementary

Northport Elementary

RSIS

SEA

Sonnesyn Elementary

Zachary Lane Elementary

RVA

Parent/Guardian First Name *

Parent/Guardian Last Name *

Parent/Guardian E-Mail Address *

Parent/Guardian Phone Number *

Please select your child's FIRST choice of instrument *

Please select your child's SECOND choice of instrument *

Please select your child's THIRD choice of instrument *

How do you plan on getting your instrument for the school year?

We already own an instrument.

We will rent an instrument from a music store.

We wish to apply to rent a school owned instrument (priority given to free or reduced lunch, saxophones are not available to rent from the district)

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