PJFMS Orchestra Parent / Student Information
Please fill this form out by Tuesday, August 15th! I look forward to teaching your child! It is going to be a fantastic year! :)

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Student Name *
Student Grade *
Student T-Shirt Size (ADULT) *
Parent Name(s) *
Parent E-Mail(s) *
Parent Contact Phone Number(s) *
Please enter the best number for contact.
What instrument do you currently play?
*
If this is your first year of strings, please select "I am a beginner."
Will you be renting your instrument from a music store or using a school owned instrument?
*
A list of music stores is listed in the handbook. School owned instruments have a rental fee of $50 and are limited to what is available.
I, the parent / guardian of this child have acknowledged the handbook and will ensure my child will follow the rules and regulations set forth by Mr. Purcell and of the PJFMS Orchestra. *
Use initials to sign.
I, the student of the PJFMS Orchestra understand the rules and expectations of Mr. Purcell and the program. *
Use initials to sign.
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