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22/23 AGS Band Enrollment Form
5th grade parents, this form is step 2 (of 3) for joining the AGS Middle School band program. Please complete step 1 (choose band as an elective) and step 3 (get an instrument) to make sure your student is ready for band this fall!
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* Indicates required question
STUDENT Last Name
*
Your answer
STUDENT First Name
*
Your answer
What Elementary School are you coming from?
*
Tomek Eastern
North Road
State Road
Other:
STUDENT Grade 2021/2022 school year
*
6th Grade
7th Grade
8th Grade
Student Instrument Preference (Choose only one!)
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Flute
Clarinet
Trombone
Trumpet
Does your family already own an instrument that you're planning to play in band?
Yes
No
Clear selection
If yes, who manufactured the instrument? (ex. Yamaha, Selmer, Bundy, Gemeinhart, etc.)
Your answer
Have you taken piano lessons?
*
Yes
No
If yes, how long have you taken piano lessons?
Your answer
Do you play any other (non-band) instruments? ex. Guitar, Bass, Drumset, Violin, etc. or do you sing?
Your answer
Do you have a brother or sister in band now?
*
Yes
No
STUDENT Cell Phone Number
Your answer
PARENT/GUADIAN Signatures
If you have multiple students in band, please submit this form once for each student.
PARENT/GUARDIAN 1 Last, First
*
Your answer
PARENT/GUARDIAN 1 Cell Phone Number
*
Your answer
PARENT/GUARDIAN 1 Email address
*
Your answer
PARENT/GUARDIAN 2 Last, First
Your answer
PARENT/GUARDIAN 2 Cell Phone Number
Your answer
PARENT/GUARDIAN 2 Email address
Your answer
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