KIS Band Student Information 2019-2020
Please complete this form and submit the written agreement by Thursday, August 8, 2019 .  Be sure to inform the instructor of any changes.  Unless you request otherwise, your contact information may be shared with the Kailua Intermediate School Band Booster Board Members in order to facilitate communication regarding upcoming events, collection of permission forms, instruments, or payment for supplies.
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Student's First and Last Name *
Student's Band Course *
Student's Band Class Period *
Student's Grade Level *
Student's Mailing Address (Street Number, City, Zip Code): *
Student's Home Phone: *
Father/Guardian's Name (type "n/a" if not applicable): *
Father/Guardian's Work Phone: *
Father/Guardian's Cell or Home Phone: *
Father/Guardian's Email Address: *
Mother/Guardian's Name (type "n/a" if not applicable): *
Mother/Guardian's Work Phone: *
Mother/Guardian's Cell or Home Phone: *
Mother/Guardian's Email Address: *
Is it acceptable for this student to study, listen to, and perform Christmas music?  Circling no means that you agree to accept alternate assignments instead. *
Is it acceptable for this student to study, listen to, and perform patriotic music (e.g. God Bless America, Star Spangled Banner)?  Circling no means that you agree to accept alternate assignments instead. *
Is it acceptable for this student to study, listen to, and perform sacred/spiritual music (e.g. When the Saints Go Marching In, Amazing Grace)?  Circling no means that you agree to accept alternate assignments instead. *
My child and I read, understand, and agree to the terms and conditions included in the Syllabus and Band Handbook.  My child and I have signed the written Syllabus Agreement.   *
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