Summer Music at Neuqua: Registration 2019

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

ONE REGISTRATION PER CAMP (Please fill this form out multiple times for multiple camps)

Student's First Name *

Student's Last Name *

Street/City/Zip *

Home Telephone Number (###)###-#### *

Student Email *

Parent Email *

Grade in the fall of 2019 (next school year) *

Student T-Shirt Size *

Current School *

Crone Middle School

Fischer Middle School

Granger Middle School

Gregory Middle School

Hill Middle School

Scullen Middle School

Still Middle School

Metea Valley High School

Neuqua Valley High School

Waubonsie Valley High School

Other:

Instrument *

Violin

Viola

Cello

String Bass

Flute

Oboe

Clarinet

Bassoon

Alto Saxophone

Tenor Saxophone

Baritone Saxophone

French Horn

Trumpet

Trombone

Euphonium

Tuba

Percussion

Required

Please list any health considerations we should know (please type none if none). *

Carpool Lists *

Please place my name and telephone number on a list for parents interested in a carpool for students in my subdivision. I understand that it will be my responsibility to make any arrangements needed to participate in a carpool. The carpool list will be emailed out the week prior to the beginning of camp.

No thank you.

If you selected to be placed on the carpool list, please enter your subdivision.

Please select the camp for which you are registering. (Fill out a registration form for each camp). *

HS Band

MS Band

HS Orchestra

MS Orchestra

For Band, Orchestra and Choir:

My son/daughter WILL attend the concert.

My son or daughter will NOT attend the concert due to travel reasons.

Clear selection

There are 3 more steps to register. Step 1 - click on the Paypal link on the summer music page and pay. Step 2 - answer the question below so we can match your payment to the correct student. Step 3 is to click on the SUBMIT button below

What is the parent name associated with your Paypal payment? *

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Indian Prairie School District. Report Abuse

Forms