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Long Branch Instrumental Music Program Registration for School Year 2021 - 2022
Registration form for the 2021 - 2022 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 2021 - 2022 School Year
*
4th Grade
5th Grade
Option for younger students who are taking private lessons
Who is your teacher this year?
Grade 4 - Ms. Coughlin
Grade 4 - Ms. Fahie
Grade 4 - Ms. Roberts
Grade 5 - Ms. Greenberg
Grade 5 - Ms. McGeorge
Grade 5 - Kathryn Oakes
Clear selection
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). We will be offering this option in person this year! It will probably be a before school option. Details coming later about dates.
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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