Chesterton Beginning Band Selection Night Registration Form
Selection Night Information:

If your child currently attends Liberty, please attend the Selection Night on
Tuesday, March 12th at Chesterton Middle School (not CHS) from 3:30pm – 7:00pm.

If your child currently attends Westchester, please attend the Selection Night on
Wednesday,  March 13th at Chesterton Middle School (not CHS) from 3:30pm – 7:00pm.

Chesterton Middle School, 651 W. Morgan Avenue, Chesterton, IN 46304
** Please use Entrance 4 (Music Dept.) facing Morgan Avenue **

Try to stick with your assigned night, but if you have an unavoidable schedule conflict, feel free to
attend the Selection Night that works best.

You and your child should attend together.

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Student's First Name *
Student's Last Name *
School attending next year? *
Parent's First Name *
Parent's Last Name *
Home Street Address *
City *
Zip Code *
Parent Email Address
Parent Phone #
Which Instrument is your Student's 1st Preference? *
Which Instrument is your Student's 2nd Preference? *
Which Instrument is your Student's 3rd Preference? *
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