2023-2024 Beginning Band Sign-Up
Your child has expressed interest in learning an instrument next year. We are looking forward to working with them!

By June 2 please complete this form to sign-up your current 4th-grade child to learn a band instrument next year. You may use this form a second time if you have another interested 4th-grade child.

Make sure to review the instrument choices with your family at our website BEFORE completing this form:

https://secure222.inmotionhosting.com/~ccmtan5/mmallory/joiningband/instruments.html

If you have any questions please do not hesitate to contact us:

Michelle Russ: mruss@fcsd.wnyric.org
Andrew Bennett: abennett@fcsd.wnyric.org


**Note: The first email address field is required by Google so you can receive a copy of this form submission. Please use a parent's e-mail address for this.
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Email *
Student's First Name *
Student's Last Name *
Parent/Guardian's First Name *
Parent/Guardian's Last Name *
Additional Parent/Guardian's First Name (OPTIONAL)
You may list more than one name as the primary contact. This is not required.
Additional Parent/Guardian's Last Name  (OPTIONAL)
You may list more than one name as the primary contact. This is not required.
Primary Contact's Preferred  Email Address *
You may list more than one email address. Enter "none" if you do not have an email account.
Primary Contact's Preferred  Phone Number *
You may list more than one phone number. Enter "none" if you do not wish to share your number.
Primary Contact's Street Address *
Primary Contact's Town/City *
Primary Contact's Zip Code *
Primary Contact's Phone Number *
Please list any BAND instruments you already own.  (OPTIONAL)
Has your child taken music lessons before?  (OPTIONAL)
If "yes," please list what instrument(s) and for how long. If "no," please leave this section blank.
School-Owned Instrument Eligibility/Request *
Families that qualify for free or reduced lunch may be able to rent a school-owned instrument at a significant savings. Instrument supply is limited and requests are considered on a first come basis.
Questions/Comments  (OPTIONAL)
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