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Cedar Valley Band IMIP Student/Parent Application
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* Indicates required question
Student Name
Your answer
Name of Parent, Guardian or Sponsor
Your answer
Contact Phone Numbers - Primary
Your answer
Secondary
Your answer
Email address
Your answer
Instrument
*
Your answer
Does your student currently have a teacher?
*
yes
no
If they already have a lesson teacher, please provide their name.
Your answer
Band Period
*
1 (Beginning Trumpet and Clarinet)
2 (Beginning Tuba, Euphonium, Saxophone)
3 (Symphonic Band)
4 (Honors Band)
6 (Beginning Flute, Percussion)
7 (Concert Band, Beginning Horn)
8 (Beginning Trombone and Oboe/Bassoon)
Grade Level
*
6
7
8
When would your child be available for lessons? (Check all that apply)
Before School
During band class
Advisory
After School
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