Band Registration 2017
Eugene Reimer
Last Name *
Your answer
First Name *
Your answer
Gender *
Required
Grade *
Required
Teacher
Your answer
Division
Your answer
Name of Parents/Guardians *
Your answer
Parent/Guardian Email Address *
Your answer
Contact Phone number *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone number *
Your answer
Any Health Concerns, Allergies, or Dietary Restrictions? *
Your answer
Have you ever studied an instrument before? *
Required
If so, which instrument and for how long?
e.g. piano, 3 years
Your answer
Which Instrument are you MOST interested in learning? *
choose your first option
Which Instrument are you interested in learning? *
choose your second option
Which Instrument would you like to learn? *
choose your third option
Will you be renting an instrument for your child? *
Rentals range from $15-30 per month, depending on the instrument, and are highly recommended for the program. Benefits of renting include a better quality instrument to play and the option to insure the instrument inexpensively protecting you from theft, damage, or loss.
For this year's Band Trip, what would be affordable for your family?
Our grade 7 and 8s are planning to go to Whistler, fundraising will be available!
By checking each box below, I have read all of the following rules and regulations and agree to follow them: *
Please check ALL boxes.
Required
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy