JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
2021-2022 School Year Mailing List
Complete this form to join our mailing list for more information on the 2021-2022 school year!
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Student's First Name:
*
Your answer
Student's Last Name:
*
Your answer
Are you a NEW or a RETURNING student to the Sultana Instrumental Music Program?
*
New
Returning
Other:
Student's Grade in the upcoming 2021-2022 school year:
*
9th
10th
11th
12th
Student's HUSD ID Number
Leave blank if not yet a HUSD student
Your answer
Best Phone Number to reach STUDENT at:
Your answer
Best Email to reach STUDENT at:
*
Please include the email that you have access to and check frequently.
Your answer
What is the Student's Current PRIMARY Instrument?
Select the instrument that the student has the MOST experience on. NOTE: If you are a current or interested color guard member, please write COLOR GUARD
Your answer
Does the student personally own or rent the instrument that is listed above?
If student uses a school instrument, please select NO. If color guard, please leave blank.
Yes
No
Other:
Clear selection
Brief description of your level of experience on the instrument above:
Indicate length of time/experience, previous classes/groups you participated in, previous school, or any other info that you think might be helpful
Your answer
Parent/Guardian Name (first & last)
*
Your answer
Best Phone Number to reach parent at:
*
Your answer
Best Parent Email to reach parent at:
*
Your answer
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Hesperia Unified School District.
Report Abuse
Forms
