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Band and String Program Registration Form
Fill out this form if your student is interested in band or strings!
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* Indicates required question
Student First Name:
*
Your answer
Student Last Name:
*
Your answer
Address/ PO Box
*
Your answer
City (required):
*
Your answer
State (required):
*
Your answer
Zip Code (required):
*
Your answer
Please indicate what instruments you'd like to play: (choose all you are interested in)
*
Flute
Clarinet
Saxophone
Trumpet
Trombone
Percussion
Violin
Viola
Cello
Required
School
*
Barron
Fisk
Lancaster
N. Salem
Soule
Woodbury
SHS
Required
Elementary Classroom Teacher (if applicable)
Your answer
Parent/Guardian Name:
*
Your answer
Parent/Guardian Phone
*
Your answer
Parent/Guardian Phone 2
Your answer
Parent/Guardian Email
*
Your answer
Program Agreement: By completing this registration form and selecting "Yes" below, you are aware that your student will participate in our elementary band and/or SSD strings program for the year! Please review all materials sent home.
*
YES!
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