2017-2018 Fifth Grade Beginning Band Registration
Student's First Name *
Your answer
Student's Last Name *
Your answer
Homeroom Teacher *
Parent/Guardian Full Name *
Your answer
Daytime Phone Number *
Please use this format: (123) 456-7890
Your answer
Evening Phone Number *
Please use this format: (123) 456-7890
Your answer
Parent/Guardian Email Address *
I will be communicating regularly via email with parents/guardians of instrumental music students.
Your answer
Second Email Address (only if necessary for your family)
Your answer
Instrument Choice
The following instruments will be offered to first year band students this year. Mrs. Rimlinger will be happy to meet with students one-on-one to give them an opportunity to "test" several instruments to decide which would be the best fit. Check the boxes next to the instruments your child wants to try out.
IMPORTANT! PARENTS AGREEMENT *
By checking the box below, I signify that I understand I am responsible for renting an instrument and purchasing the required lesson book and supplies listed on Mrs. Rimlinger's web site. My child will have these materials by Monday, September 25th. I will encourage my child to practice at home regularly to reinforce new skills and notes that are introduced during lessons.
Required
Parent/Guardian Comments
Please write anything else you would like me to know about your child; for example, any experience your child may already have playing a musical instrument, physical limitations you may be concerned about, or anything else you care to share!
Your answer
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