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Long Branch Instrumental Music Program Registration for School Year 2020 - 2021
Registration form for the 2020 - 2021 Long Branch Instrumental Music Program
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* Indicates required question
Email
*
Your email
Student's First Name
*
Your answer
Student's Last Name
*
Your answer
Grade level for the 2020 - 2021 School Year
*
4th Grade - Ms. Fahie
4th Grade - Ms. Jenkins-Frye
4th Grade - Ms. Mitchell
4th Grade - Ms. Roberts
5th Grade - Ms. Dorset
5th Grade - Ms. Greenberg
5th Grade - Ms. McGeorge
5th Grade - Ms. Oakes
Option for younger students who are taking private lessons
Additional Email Address, and/or Phone #
Your answer
What is your first - preference instrument?
*
If you are continuing on your instrument, give it first preference
violin
viola
cello
string bass
flute
clarinet
alto sax
trumpet
trombone
euphonium
What is your second - preference instrument?
If you are continuing on your instrument, give it first preference
violin
viola
cello
string bass
flute
clarinet
alto sax
trumpet
trombone
euphonium
Clear selection
What is your third - preference instrument?
If you are continuing on your instrument, give it first preference
violin
viola
cello
string bass
flute
clarinet
alto sax
trumpet
trombone
euphonium
Clear selection
Are you interested in the Bucket Brigade? (you must play a band or string instrument listed above to participate in this group). If we are able to schedule an online time for this, we will offer this option!!
Yes
No
Clear selection
Please check all that apply:
*
I already have an instrument, and won't need to rent or buy one.
I want to rent a school-owned instrument. Please be aware that first choice for school instruments will be given to free and reduced lunch students.
If the school doesn't have my instrument of choice, my parents/guardians will rent one from a music store, or other source.
I am willing to learn whatever instrument is available!
Required
Please use this section to ask me a question, or to tell me a little about your student!
Your answer
A copy of your responses will be emailed to the address you provided.
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