Elementary Band & Violin Enrollment Form
Elementary Band and Violin classes with Mrs. Diaz are offered to all 5th and 6th graders at the following schools: Stallings, Orange, Temescal Valley, Todd, Anthony, and Wilson.  

Please fill out the form below if you are interested in signing up for Elementary Band or Violin with Mrs. Diaz.  Returning students must also fill out a new form.  Please check each answer for spelling and accuracy before submitting.  

To receive more information about the Elementary Band and Violin program, please visit https://kdiaz.educatorpages.com
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Student First Name  *
Student Last Name *
School (Select One) *
Grade Level *
Are you a returning band/violin student? *
Homeroom Teacher (Last name only) *
Parent Email *
2nd Parent Email (Optional)
Parent Phone Number
Student ID # (Please check for accuracy) *
Instrument Choice *
Required
Any additional comments or questions for Mrs. Diaz
Submit
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