2019-2020 AEHS Instrumental Music - Student Information Form

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*Information collection for 2019-2020 school year - questions? Students must review the Instrumental Music Handbook with their parents/guardians, then sign the contract and complete this form!

AEHS Instrumental Music Handbook 2019-2020:
https://docs.google.com/document/d/1S294mEgFgC2lg9jGdATyYfzdr0-_njg-ZgoyhZQRAm0/edit?usp=sharing

Please email Mr. Kelly at Brendan.W.Kelly1@mcpsmd.net

Student ID *

6 Digits

Name (Last, First) *

Grade *

Ensemble(s) Enrollment *

Choose all that apply

Pd. 2 - Jazz Lab Band

Pd. 4 - Jazz Ensemble

Pd. 5 - String Orchestra

Pd. 6 - Concert Band

Required

Instrument(s) (that you play in class) *

Schools attended prior to AEHS

Non-MCPS Student Email *

*MCPS student emails are not compatible with our Inst. Music office management system, Cut Time*

Student Cell Phone

Please use xxx-xxx-xxxx format - Collected in order to contact students in case of emergency; If you choose not to share this information, leave blank.

Parent/Guardian Name(s) *

Please provide at least one name of primary contact that corresponds with following email & phone responses; separate multiple names with a comma

Parent/Guardian Email (primary contact) *

If you do not have an email of choose note to provide this information, enter N/A.

Parent/Guardian Phone (primary contact) *

Please use xxx-xxx-xxxx format - Indicate cell phone (C), work phone (W) or home phone (H); if you choose note to provide this information, enter N/A.

Parent/Guardian Email (additional contact)

If you do not have an email of choose note to provide this information, enter N/A.

Instrument(s) Make(s)/Model(s)

Collected to maintain record of which instruments are used by instrumental music students and stored in Room 1007 during the school day in case of incidents of theft/misplaced instruments. If you choose not to share this information, leave blank.

Instrument(s) Serial Number(s)

Are you involved in any sports or activities that may conflict with our scheduled extra-curricular concerts? If yes, please provide name of coach or activity sponsor

Are you currently taking private lessons? *

Yes

If yes, who is your current private teacher?

If no, are you interested in starting private lessons?

We are happy to help you get in touch with a qualified & affordable teacher!

Yes

Clear selection

Are you interested in pursuing music as a major (or minor) in college? *

If you have ever thought about pursuing music study after high school, please let me know! I am here to help you gather information and access important resources that will help you prepare for college auditions & applications.

Yes

Adult Volunteer Interest/Availability**

We are in need of several parent/guardian volunteers to help with the operations of the Instrumental Music Department! If you are willing and able to volunteer your time in any of the following areas, please indicate your preferences and we will be in touch with more information & to schedule times for you to help! Questions can be sent to Mr. Kelly at Brendan.W.Kelly1@mcpsmd.net.

Concert Stage Crew (break down stands/chairs, move percussion equipment and sound shells)

PACE Volunteer (Performing Arts Coalition of Einstein - boosters for VAPA department)

Materials Prep (copying, organizing, distributing music/concert programs)

Concessions/Hospitality (fundraising during sporting events/concerts)

Music Program Facilities Cleanup/Organization (sorting music, cleaning storage spaces, database entry)

Additional information?

Please include any information about the student, your family, or special circumstances that are important for Mr. Kelly to be aware of during the school year.

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