4th Grade Band Enrollment Form

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Please fill out the following information as completely as possible

Student Name

4th Grade Classroom Teacher *

Instrument *

Parent/Guardian Name(s) *

Address *

Parent Phone Number *

Parent Email Address *

Please check one of the following *

I/We will rent/purchase an instrument from Menchey Music.

I/We will obtain an instrument from our own source

I/We now own a suitable instrument

Required

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