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Beginner Band Registration
Please complete this form as soon as possible.
Student Last Name
Your answer
Student First Name
Your answer
Parent/Guardian First & Last Name (1)
Your answer
Parent/Guardian First & Last Name (2)
Your answer
Parent/Guardian Email
Your answer
Parent/Guardian Phone
Your answer
Student Instrument Choice (oboe, alto sax, trumpet, tuba are full - no spots available)
Choose
Flute
Clarinet
Trombone
What is your plan for securing an instrument?
Choose
Rental from either Leithold Music or SSE Music
We own an instrument and already had it inspected
We own an instrument and will have it inspected when stores re-open
We will be using a school tuba
Please select your choice for summer lessons, held Mon-Fri from July 20-August 7
Choose
8:30-9:20am Clarinet
10:50-11:40am Trombone
10:50-11:40am Flute
Please list any weekday dates between July 20-Aug 7 in which your child will not be available. Note: Students missing Week 1 (July 20-24) will be required to first attend a 12:50-1:30pm make-up class during Week 2 (July 27-31).
Your answer
Please feel free to leave any comments/questions/concerns that you may have.
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