Fifth-Grade Elementary Band Student Interest Form (SY 2021-2022)
One of the opportunities offered to your child in fifth grade is the option to participate in instrumental music lessons. We offer lessons for flute, clarinet, saxophone, trumpet, trombone, and percussion (beginner drum and xylophone).

To participate in the program, your child will need an instrument and a beginner book (Standard of Excellence, Book 1). Gerry’s Music Shop offers instrumental rentals and book purchases. There will be an Instrument Rental Night with Gerry’s Music Shop with a tentative date for Tuesday, September 14th at 6:30 PM in the Chicopee High School auditorium. At this event, interested students and their families can learn more about the rental process. Instruments can be picked up at their store.

Gerry’s Music Shop
80 Lamb Street (Route 116)
South Hadley, MA 01075
(413) 534-7402

Instrument lessons will take place within the first few weeks of the 2021-2022 school year. Students will also have the opportunity to participate in an after-school band program beginning in late January/early February with a concert taking place in late April.

If you are interested in having your child participate in the elementary band program, please complete this form.

If you have any questions about the program or finding and choosing an instrument, please feel free to contact me via email at

Thank you for your interest in having your child join the elementary band program at Chicopee Public Schools!


Ashley Jackowski
Elementary Instrumental Music Teacher
Chicopee Public Schools
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Student Name *
Parent/Guardian Name *
Phone Number *
Email Address *
School Name *
Please list your first choice of instrument. *
Please list your second choice of instrument. (optional)
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Please list your third choice of instrument. (optional)
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Please choose one of the following statements. *
Do you have any additional questions, comments, or concerns about the elementary band program? (optional)
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