Rosa International Middle School Band/Orchestra Registration 2017/18
Please do not complete until LC and Adviser have been assigned. Please submit by September 15. All information provided is guaranteed to be secure.
Email address
Current School Year Information
Please complete this form carefully. Since this information goes into a formal database that is used throughout the year, please be sure to use correct capitalization. A parent/guardian must be present when completing.
Band/Orchestra Participation Information
Student's LAST NAME
Your answer
Student's FIRST NAME
Your answer
Student's current GRADE
Student's Current Learning Community (LC)
Student's Current Adviser
LAST NAME ONLY - i.e. DelRossi, not Mr. DelRossi
Your answer
Which ensemble/group are you registering for?
Choose one. Note: This is NOT the Jazz Band registration page
Select the instrument you currently play
If you are new to the program, select which instrument you wish to play
Instrument Serial Number
Needed in the event an instrument is lost or accidentally switched with another. It can be found engraved on the BODY of wind instruments and INSIDE the f-hole of string instruments. Rentals will have the serial numbers on the tags. If there is no number (or letter) serial number, please write NONE below.
Your answer
Did you play the instrument selected above LAST year?
If YES selected above, how many years have you been playing this instrument?
Your answer
Do you play another instrument?
If YES selected above, which one?
Your answer
If you play another instrument, are you interested in playing it in another ensemble?
Are you currently taking private lessons on this instrument?
If YES selected above, with whom?
Your private teacher's name - this is helpful if someone else is looking for a private teacher
Your answer
Which elementary school did you attend?
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