2021-2022 KSD 140 Band Registration
Parents, please accurately complete the following information for your child.  If you have more than one child who will be in the band program, complete this form for each child!  Due before Thursday, June 10, 2021.
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Student First Name *
Student Last Name *
Will your child be in the District 140 Band Program during the 2021-2022 school year? *
Instrument *
School in the Fall *
Grade in the Fall *
Home Address *
House Number, Street, (Unit Number)
City *
Zip Code *
Parent 1 Name *
Enter a Parent/Guardians' Name
Parent 1 Primary Phone *
Enter area code and 7-digit number (123-456-7890)
Parent 1 Email *
Used to quickly distribute class announcements
Parent 2 Name
Enter a Parent/Guardians' Name
Parent 2 Primary Phone
Enter area code and 7-digit number (123-456-7890)
Parent 2 Email
Used to quickly distribute class announcements
Will your child participate in the D140 Summer Band Camp, runs from August 10 to 19.  The fee is $50 and checks should be made out to KSD 140.  Payment can also be made online through Infinite Campus...will be posted to IC within 1-2 business days.  Please do not send cash. *
Are you applying for the Summer Camp need-based scholarship?
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