Instrumental Music Registration 2021
This form must be submitted by Friday, June 11th.  

Lessons will begin the week of September 20th. Please make sure you plan ahead to have an instrument, lesson book, and accessories ready for our first lesson!  

Please reference the instrumental music packet sent home with your child for more information.  

If you have any questions or concerns, please email Mrs. Quackenbush at Lquackenbush@mnsd.org.
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First Name (Student): *
Last Name (Student): *
School *
Grade - School Year (2021-2022) *
Required
Parent/Guardian #1 First Name: *
Parent/Guardian #1 Last Name: *
Parent/Guardian #1 Contact E-mail (Primary method of communication): *
*Your e-mail will not be shared and all e-mails will be sent via blind cc to maintain privacy.
Parent/Guardian #1 Contact Phone (Emergency): *
Parent/Guardian #2 First Name:
Parent/Guardian #2 Last Name:
Parent/Guardian #2 Contact E-mail (Primary method of communication):
*Your e-mail will not be shared and all e-mails will be sent via blind cc to maintain privacy.
Parent/Guardian #2 Contact Phone (Emergency):
Instrument: *
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