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.

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Student First Name *
Edward
Student Last Name *
Robertson
School ID# *
xxxxx
Birth Month *
Birth Day *
Birth Year *
Student Gender *
Vegetarian *
What grade are you in right now? *
Your Mailing Address *
1285 Escuela Pkwy
City *
Zip Code *
95035
Home Phone *
408-555-5555
Student's Cell Phone *
408-555-5555
Student's MUSD Email *
Student's Personal Email *
name@emailprovider.com (do not list your school email here)
Music Class/Group *
Select ALL classes that you plan to take next year.
Required
Choir Part *
Orchestra - Preferred Instrument *
Pep Band/Marching Band or Color Guard - Preferred Instrument/Equipment *
Concert Band - Preferred Instrument *
Jazz Band? *
I am interested in auditioning for this class - Only Trumpet, Sax, Trombone, Bass, Piano, Guitar, and Drums.
AP Music Theory? *
You must also get Ms. Moore's signature on your AP form.
What additional instruments can you play?
Optional: select all that apply
Mother/Guardian Relationship to you *
Mother/Guardian First Name *
Barbara
Mother/Guardian Last Name *
Lee
Mother/Guardian Cell Phone *
408-555-5555
Mother/Guardian Email *
Does your Mother/Guardian have the same mailing address?  If not, write address below. *
Father/Guardian Relationship to you *
Father/Guardian First Name *
Jonathan
Father/Guardian Last Name *
Lee
Father/Guardian Cell Phone *
408-555-5555
Father/Guardian Email *
Does your Father/Guardian have the same mailing address?  If not, write address below. *
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