2019-2020 Pine Brook Instrumental Music Registration Form

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Mr. Marco Lucchi- Orchestra Director
Mr. John Rusin- Band Director

This form is for students enrolling in Pine Brook for the 2019-2020 school year. *

Please acknowledge that your student will be attending PINE BROOK SCHOOL for the 2019-2020 school year by clicking below.

Pine Brook

Please enter the student's FIRST name *

Please enter the student's LAST name *

My child is interested in taking music lessons on the following instrument. *

Please list how many years your child has played the instrument listed above *

Please select from the following *

My child will be renting an instrument or has already acquired an instrument.

My child would like to use a school owned instrument. REMINDER: INSTRUMENTS ARE DISTRIBUTED ON A NEEDS BASIS and supplies are distributed on a first come first serve basis.

What school did your child attend last year? *

Parent/Guardian Name *

Address *

Parent Cell Phone *

Please provide the best number for parent/teacher communication

Parent Email Address *

Please provide the best email for parent/teacher communication

Please check the box below to acknowledge that you have read the statement regarding rehearsals. *

ORCHESTRA rehearsals are Tuesdays at 7:45am. BAND rehearsals are Wednesdays at 8:00am.

My child and I understand that he/she will participate in Band/Orchestra rehearsals before school. Attendance at rehearsals, lessons, and concerts are a requirement to remain in the program.

Required

Is there any additional information pertaining to your child's instrumental education that you think we should know?

Submit

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