2023-2024 5th Grade Strings Registration Form

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Email *

Student Contact Information

Select student's elementary school. *

Bulverde Creek Elementary

Cibolo Green Elementary

Student (Last Name) *

Student (First Name) *

Student's Home Phone Number *

Please select student's instrument choice. *

Violin

Viola

Cello

Bass

Is student part of the KIN program? *

Yes

Does student have safety patrol duty after school? *

Yes

Please list any allergies and/or important information you would like the instructor to know concerning your child. (Please enter "N/A" if not applicable.) *

Parent/Guardian No. 1 Contact Information

Parent/Guardian #1 (Last Name) *

Parent/Guardian #1 (First Name) *

Parent/Guardian #1 Phone Number *

Parent/Guardian #1 Work Phone Number

Parent/Guardian #1 E-mail *

Parent/Guardian No. 2 Contact Information (Optional)

Parent/Guardian #2 (Last Name)

Parent/Guardian #2 (First Name)

Parent/Guardian #2 Phone Number

Parent/Guardian #2 Work Phone Number

Parent/Guardian #2 E-mail

Alternate Adult Contact Information (Optional)

Relation To Student

Alternate Adult (Last Name)

Alternate Adult (First Name)

Alternate Adult Phone Number

Alternate Adult E-mail Address

5th Grade Strings Dismissal Information

After 5th Grade Strings class, *

My child will be picked up.

My child will walk home.

My child will report to KIN.

If student will be picked up after class, please provide name of adult, relation to student, and phone number. (Please enter "N/A" if not applicable.) *

Parent/Guardian Volunteer

Ex. Chaperone at concerts.

Please select one: *

Yes, I am interested in volunteering if needed.

No, I am unable to volunteer.

A copy of your responses will be emailed to the address you provided.

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