5th Grade Instrumental Music Sign-up Form

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You must submit this form to enroll in the 5th Grade Instrumental Music Program at E. G. Hewitt for the 2014/15 school year.
IMPORTANT - IF YOU ARE RENTING AN INSTRUMENT - Promotional rates for instrument rentals are not available until June 2nd. Do not sign-up for the month to month rental program at this time.

* Please put any questions or comments in the box at the bottom of the form and hit submit when you are finished.
* If you complete this form online there is no need to submit a paper form.
* The sign-up form for the summer music camp is a separate form. Visit http://ringwoodbands.wikispaces.com for more information.

Student First Name *

Student Last Name *

Instrument Choice *

4th Grade Homeroom Teacher *

Mrs. Camporeaile

Mrs. Migliaccio

Mrs. Romano

Mrs. Fleischl

Mrs. Sciortino

Miss Frawley

Parent/Guardian Name *

First and last please

Parent e-mail address *

Phone #

How will you be obtaining an instrument? *

Please check one...

We will be renting an instrument from Music & Arts Center. (Complete the online rental contract or visit the store after June 2)

We already own an instrument. (Please have it checked by Mrs. Wise or a music repair person before the start of school in September.)

We plan to purchase/rent an instrument from somewhere other than Music & Arts Center. (Beware of online purchases!)

Other:

Required

Ringwood Summer Music Camp *

*Registration for the Summer Music Camp is due by June 1st. **All 5th grade band students are recommended to begin their instrument with us this summer.

I will be participating in the Summer Music Camp

I will not be participating in the Summer Music Camp

Required

I have read the "Invitation to Instrumental Music" packet.

Required

Questions or comments about the 5th grade instrumental music program:

Remember to hit "submit" after you have completed this form!

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