Band Interview Night 5/18 & 5/20
Registration form for the 5th grade beginning band interview night. This is for students currently in 5th grade, going into 6th grade next year.  Please make sure to fill out all of the boxes you see. Email Mr. Carter rcarter@dps170.org if you have any trouble or questions! We will be at The Dixon High School Band Room
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Which night will you be attending? *
Choose a time slot for the instrument interview below. Show up with your child for the interviews! (they are 10 minute time slots, ex. 3:30 - 3:40) *
Required
Student Full Name *
Student's 5th Grade Classroom Teacher Name *
Parent/Guardian #1  Full Name *
Parent/Guardian #1  Email *
Parent/Guardian #1 Cell Phone Number *
Parent/Guardian #2  Full Name (If none put N/A) *
Parent/Guardian #2  Email (If none put N/A) *
Parent/Guardian #2 Cell Phone Number (If none put N/A) *
Choose 3 instruments your child is interested in.  (no more than 3 please) *
Required
Submit
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