2017-2018 INSTRUMENT SELECTION FORM - Spring OPEN ENROLLMENT

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This form must be completed by the first cycle of the school year for your child to participate in the instrumental program during the 2017-2018 school year. All instruments and lesson books need to be obtained by the second cycle of the school year.

You will need to get your student their instrument and book by the beginning of lessons for the 2017-2018 school year. Please refer to the teacher’s Fusion Page for the correct book. Rental instruments can be obtained through our preferred supplier Zeswitz Music Store http://www.zeswitzmusic.com/ or consult the instrumental teachers for specific questions.

Student First Name *

Student Last Name *

Student Address *

Parent/Guardian Name #1 *

Parent/Guardian Name #2

Home Phone Number *

Elementary School *

Email Address *

String Instrument Selection

Violin

Viola

Cello

Bass-please note the selection of the instrument will not fit on a bus and transportation must be provided to bring it in for lessons

Band Instrument Selection

Flute

Clarinet

Alto Saxophone

Trumpet

Trombone

French Horn - School supplied instrument with limited availability and extra requirements

Baritone - School Supplied Instrument with limited availability and extra requirements

Percussion - Required to obtain a Percussion kit

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