Centennial Orchestra Registration 2020-2021
NEW and RETURNING Orchestra Students MUST submit this form in order to include yourself in our Orchestra.  
Mr. Green will then contact you with detailed information.  Beginners will choose an instrument soon (after registering).

Please contact Mr. Green if you have questions.  
sgreen@kyrene.org 


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Student First Name *
Student Last Name *
Student Grade Level *
Do you already play an orchestra instrument? *
If you answered "Yes," please list the instrument you play.  If "No," select N/A. *
Required
Do you currently have the instrument at home? (If "No" we can provide options for getting one!). *
Parent/Guardian First Name. *
Parent/Guardian Last Name. *
Parent/Guardian email address (please double check for accuracy). *
Parent/Guardian Phone Number (best way to call you). *
Parent/Guardian #2 First Name (Leave blank if not applicable).
Parent/Guardian #2 Last Name (Leave blank if not applicable).
Do you have any questions?
Is there anything Mr. Green should know to better serve your child?
Submit
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