Milpitas H.S. Music - New Student Registration
All students who are not currently in the Milpitas High Band, Orchestra or Color Guard should complete the form below.
Please DO NOT list the same phone number or email address more than once on this form.
If you do not have a home phone number, cell phone, or email address please leave the box blank.
Please provide an email address for each person. Most communication is through email.
This information will only be used by the Milpitas High Music Department. Your information will not be shared or sold to other groups.
* Required
Student First Name
*
Edward
Your answer
Student Last Name
*
Robertson
Your answer
School ID#
*
xxxxx
Your answer
Birth Month
*
Choose
January
February
March
April
May
June
July
August
September
October
November
December
Birth Day
*
Choose
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Birth Year
*
Choose
2000
2001
2002
2003
2004
2005
2006
Student Gender
*
F
M
Other:
Vegetarian
*
Yes
No
What grade are you in right now?
*
8
9
10
11
12
Your Mailing Address
*
1285 Escuela Pkwy
Your answer
City
*
Milpitas
San Jose
Fremont
Other:
Zip Code
*
95035
Your answer
Home Phone
*
408-555-5555
Your answer
Student's Cell Phone
*
408-555-5555
Your answer
Student's MUSD Email
*
se12345@student.musd.org
Your answer
Student's Personal Email
*
name@emailprovider.com
(do not list your school email here)
Your answer
Music Class/Group
*
Select ALL classes that you plan to take next year.
Choir
Color Guard
Marching Band/Concert Band
Pep Band/Concert Band
Orchestra
AP Music Theory
Required
Choir Part
*
Choose
Soprano
Alto
Tenor
Bass
I'm not joining choir
Orchestra - Preferred Instrument
*
Choose
Violin
Viola
Cello
String Bass
I'm not joining orchestra
Marching Band, Pep Band, and Color Guard - Preferred Instrument
*
Choose
Piccolo
Flute
Clarinet
Alto Sax
Tenor Sax
Trumpet
Mellophone
Trombone
Marching Euphonium
Sousaphone
Marching Snare Drum
Marching Tenor Drums
Marching Bass Drum
Cymbals
Front Ensemble
Flag
Rifle
I'm not joining marching band, pep band, or color guard
Concert Band - Preferred Instrument
*
Choose
Piccolo
Flute
Oboe
Bassoon
Clarinet
Bass Clarinet
Alto Sax
Tenor Sax
Baritone Sax
Trumpet
Horn
Trombone
Euphonium
Tuba
Percussion
I'm not joining concert band
Jazz Band?
*
I am interested in auditioning for this class - Only Trumpet, Sax, Trombone, Bass, Piano, Guitar, and Drums.
Choose
Yes
No
Maybe
AP Music Theory?
*
You must also get Ms. Moore's signature on your AP form.
Choose
Yes
No
Maybe
What additional instruments can you play?
Optional: select all that apply
Piccolo
Flute
Oboe
Clarinet
Bass Clarinet
Bassoon
Alto Sax
Tenor Sax
Bari Sax
Trumpet
French Horn
Trombone
Euphonium/Baritone
Tuba/Sousaphone
Percussion - Drums
Percussion - Mallets
Violin
Viola
Cello
String Bass
Harp
Piano
Guitar
Color Guard
Voice
Mother/Guardian Relationship to you
*
Mother
Guardian
Aunt
Grandmother
Sister
Other:
Mother/Guardian First Name
*
Barbara
Your answer
Mother/Guardian Last Name
*
Lee
Your answer
Mother/Guardian Cell Phone
*
408-555-5555
Your answer
Mother/Guardian Email
*
barbaralee@emailprovider.com
Your answer
Does your Mother/Guardian have the same mailing address? If not, write address below.
*
Yes
Other:
Father/Guardian Relationship to you
*
Father
Guardian
Uncle
Grandfather
Brother
Other:
Father/Guardian First Name
*
Jonathan
Your answer
Father/Guardian Last Name
*
Lee
Your answer
Father/Guardian Cell Phone
*
408-555-5555
Your answer
Father/Guardian Email
*
jonathanlee@emailprovider.com
Your answer
Does your Father/Guardian have the same mailing address? If not, write address below.
*
Yes
Other:
Submit
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