Extracurricular Music Form
World Music Ensemble will begin Monday January 27th
Choir will being Tuesday January 28th
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Required Performances
All ensembles have a required performance Thursday May 7th- Arts and Culture Night

Which ensemble are you interested in? *
Required
Student Name *
First and Last name
What grade are you in? *
This year we will have ensemble shirts! Please select your size below. Shirts will be $10.00. (If you are in multiple ensembles only one shirt is required)
Clear selection
Parent/ Guardian Name 1 *
First and Last name of primary contact parent
Phone Number *
Primary contact phone number
Email *
Primary contact email
Parent/ Guardian Name 2
First and Last name of secondary contact parent
Phone Number
Secondary contact phone number
Email
Secondary contact email
How will the student be getting home from STEM after rehearsals? (pick up outside main office) *
Check all that apply
Required
By signing (typing) your name below you are allowing your child the opportunity to participate in a before/after school music ensemble and committing to the required performances listed at the top of this form. *
Parent/ Guardian First and Last name
Submit
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