4th and 5th grade Strings Interest Form

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Are you interested in learning a stringed instrument? Would like the opportunity to learn to play the violin? If you are interested please complete this form with your parent(s)/Guardian(s) today. I aim to gather a count by Monday, 11/22.

Any 4th and 5th grade student is welcome to join!

Our small group lesson times will happen during the morning before school and times/days are to be determined. This form is simply to gauge interest and if we have enough students who wish to play violin, we will plan for next steps in rolling out our Strings program.

Thank you!

Jessica Fasolino
Supervisor of Fine and Performing Arts, K-5

Email *

Student Full Name *

Student Email Address *

Parent/Guardian Name(s) *

Parent/Guardian Email Address *

Emergency Contact Number (Note if different contact from above) *

Grade *

4th

5th

Homeroom Teacher's Name *

What time conflicts, if any, does your child have at 7:15a.m. across the week? *

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