JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Extracurricular Music Form
Guitar will begin Monday, September 27th
Taiko will begin Monday, September 27th
Percussion will begin will begin Tuesday, September 28th
For further rehearsal dates please refer to the Stem Lab Calendar.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Required Performances
All ensembles have required performances:
December 9th: All School Assembly (during the school day), Stem Festival of Sound and Light (Evening)
Which ensemble are you interested in?
*
Percussion Ensemble (4th-8th) Tuesday Afternoons 3:25pm-4:15pm
Taiko (5th-8th) Monday Mornings 7:15-8:00am
Guitar (5th-8th) Monday Afternoons 3:25-4:15
Required
Student Name
*
First and Last name
Your answer
What grade are you in?
*
4th
5th
6th
7th
8th
Parent/ Guardian Name 1
*
First and Last name of primary contact parent
Your answer
Phone Number
*
Primary contact phone number
Your answer
Email
*
Primary contact email
Your answer
Parent/ Guardian Name 2
First and Last name of secondary contact parent
Your answer
Phone Number
Secondary contact phone number
Your answer
Email
Secondary contact email
Your answer
How will the student be getting home from STEM after rehearsals? (pick up outside main office)
*
Check all that apply
Pick up by Mom/ Guardian
Pick up by Dad/ Guardian
Carpool
Walk home
Go to Base
Morning club drop off
Other:
Required
By signing (typing) your name below you are allowing your child the opportunity to participate in a before/after school music ensemble and committing to the required performances listed at the top of this form.
*
Parent/ Guardian First and Last name
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Adams 12.
Report Abuse
Forms