College Music Day Band Sign-Up Form
Please use this form to sign up for TMC's College Music Day with the UC Berkeley Wind Ensemble on Tuesday, 03/20/2018.

This is a wonderful opportunity for your student to play with college-level musicians under the direction of Bob Calonico, the UC Berkeley Wind Ensemble director.

Please note that CMD WInd Ensemble is only for middle school students (6th through 8th grade) who play a wind, brass, or percussion instrument. Also, the event is limited to 30 students, so please sign up promptly.

You can find out more information about us, The Music Connection, at tmcberkeley.com.

Date of event:
Tuesday March 20th from 4-5 pm at the Band Rehearsal Hall at Cesar Chavez Student Center basement on the UC Berkeley campus.
Please arrive at 3:50 pm for check-in and also join us afterwards for refreshments! Pick up will be around 5:10 PM.

If you have any questions, you can reach us at tmcberkeley@gmail.com. (Please include CMD Band in the subject line.)

Student's First Name *
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Student's Last Name *
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Student's Instrument *
If you listed other above, please describe instrument below:
Your answer
Student's Grade Level *
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Student's School *
Your answer
Student's Music Teacher *
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Parent or guardian's name *
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Parent/ Guardian's Email *
Your answer
Confirm Parent/ Guardian's Email *
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Parent/ Guardian's Phone Number *
Your answer
Confirm Parent/ Guardian's Phone Number *
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Emergency Contact Name *
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Emergency Contact's Relationship to Student *
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Emergency Contact's Phone Number *
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Any special needs we should know about your student? (i.e. allergies, etc) *
Your answer
How did you hear about this event?
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