2022-2023 Band Contract Agreement 
This form should only be completed by parents/guardians of our current band students. If you have more than one band student in our program, please complete the form for each student. 
Email *
Band Class **Check schedule and mark correctly.** (7th grade Mandarin students could only be scheduled in 7th grade woodwinds.)  *
Required
Student Name (Last, First)
Example: Pfeiffer, Leah 
 *
Parent/Guardian #1 Name: *
Parent/Guardian #1 Email Address (please verify spelling) *
Parent/Guardian #1 Preferred Phone Number *
Parent/Guardian #2 Name: *
Parent/Guardian #2 Email Address (please verify spelling) *
Parent/Guardian #2 Preferred Phone Number *
Primary Instrument *
Private Teacher Name 2022-2023
Do you currently take private lessons on your band instrument? If so who do you study with and what is the frequency of lessons. ex once a week, every other, one time
 *
Parent Volunteer 
Our band program offers many opportunities for our students. In order to allow these opportunities, we rely on our fantastic parent team for support. Please consider signing up to help your child's band class. 
My child may be video recorded/photographed, not to be released with names.*
If no, student will be blurred from group photos while playing or posed. 
 *
Required
I have read the band handbook and understand the expectations to be in band at Harris Road.                                         Parent Signature*
Typing your name will indicate signature.
 *
I have read the band handbook and understand the expectations to be in band at Harris Road.                                   Musician Signature*
Typing your name will indicate signature
 *
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