Instrument Registration Form 2023

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Please complete this form before Thursday, August 31, 2023 to enroll in instrument lessons. Upon completion of this form, please follow the steps on the "Step by Step Guide" document to be ready for lessons to begin after September 11th.

Email *

Student First Name *

Student Last Name *

Parent/Caregiver First and Last Name(s) *

Parent/Caregiver Mailing Address *

Parent/Caregiver Phone Number(s) *

Parent/Caregiver Email Address *

Grade *

Classroom Teacher Last Name (Ex. Wiggins) *

School *

Central Manor

Conestoga

Eshleman

Hambright

Letort

Martic

Pequea

What instrument will your child be playing? (First choice) *

Violin

Viola

Cello

Bass (If discussed with teacher)

Flute

Clarinet

Alto Saxophone

Trumpet

Trombone

Baritone

Bells (Xylophone)

Students are REQUIRED to have an instrument in order to begin lessons. How will you secure an instrument? *

We have an instrument. The music teacher will need to approve the instrument for student use. We understand that repairs are our responsiblity.

We will rent an instrument from Menchey Music

We will rent an instrument from another local music store.

We would like to be entered into the lottery to use a PM, school-owned baritone or cello.

My child has the following special needs that the instrumental instructor should be aware of:

A copy of your responses will be emailed to the address you provided.

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