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Sebastian River Middle School BandÂ
Beginning Band Instrument Testing Registration
If you have any questions, please contact Doug Moser, Band Director: Douglas.Moser@IndianRiverSchools.Org
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Student First Name:
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Your answer
Student Last Name:
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Your answer
Student Grade Level for Next School Year:
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6th
7th
8th
What school did your student attend for 5th grade:
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Your answer
Parent/Guardian Name:
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Your answer
Parent/Guardian Phone Number:
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Your answer
Parent/Guardian E-mail Address:
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Your answer
Alternate Contact Name:
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Your answer
Alternate Contact Phone Number:
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Alternate Contact E-mail Address:
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Any medical/physical conditions we should be aware of?
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Your answer
If your student already plays an instrument(s), please list:
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Your answer
Which instrument fitting session would you like to register your student for?
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June 3rd and 4th - 9am to 12pm
June 5th and 6th - 9am to 12pm
June 10th and 11th - 9am to 12pm
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