36th Annual Park Ridge Summer Instrumental Music Program
Dear Parents:

I am pleased to announce the Park Ridge Music Department will be able to offer its 36th Annual Summer Instrumental Music Program, under the sponsorship of the Park Ridge Board of Education.  Due to the continued lifting of restrictions, the Summer Instrumental Music Program is eligible to run, and we are excited to continue this great tradition. We invite you to send your child to this year’s Summer Instrumental Music Program to experience fun, creativity, and musical growth this summer.
           
Sincerely,

John Diomede

Director of Bands
Park Ridge High School
201-573-6000 ext.5931
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** Please fill out a separate form for each child.
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General Information
Last Name of Student *
First Name of Student *
Grade as of September 2022 *
Parent/Guardian Name *
Parent/Guardian Telephone *
Parent/Guardian Email Address *
Home Address *
Emergency Contact (include relation to student) *
Emergency Contact Telephone *
Are there any special circumstances that the staff need to be aware of (allergies/IEP/medical concerns/etc.)?  If so, please list that information here.
Instrument *
Number of Years Playing Instrument *
Student Experience Level *
A minimum of TWO weeks of participation is recommended for each student to benefit from the lessons and experience maximjum growth in skills, knowledge, and musicianship.  2 Weeks - $110.00; 3 Weeks - $160.00; 4 Weeks - $210.00; Please select appropriate number of weeks. *
Required
Time Slot Request (if needed)
Tuition is being paid by check number *
Tuition is being paid in the amount of (corresponds to # of weeks: 2 Weeks - $110.00; 3 Weeks - $160.00; 4 Weeks - $210.00) *
By selecting the option below, I (the aforementioned parent/guardian) am giving permission for my child to participate in the Summer Instrumental Music Program.  I also am confirming that I have sent my child's tuition in to the main office of my child's school. *
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