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Strings Registration Form

North Muskegon Elementary Strings Class Registration

2011-2012

(Please print, fill out, and return to Mrs. Corbin before Wednesday, September 14)

 

Student Name:_________________________  Grade: ____ Teacher: ________________

Instrument Choice: _______________________  Birthday:_____________

Food Allergies or any other unique needs that Mrs. Corbin should be aware of: ________________________________________________________________________

Please list any other instruments played:_______________________________________

Parent Name:__________________________________Parent phone:_______________

Email address(es):_________________________________________________________

Parent Name:__________________________________Parent phone:_______________

Email address(es):_________________________________________________________

Please circle the best description(s) of the student’s level of experience (circle one or more):

o   Total Beginner (never played)

o   Beginner (learned violin only in 2nd grade)

  • Played in 2nd and 3rd grade
  • Played in 2nd, 3rd, and 4th grade
  • ___years of private instruction
  • other:_____________________________________________________________

 

My student is interested in private lessons.                                                Yes  /  No

My student already has an appropriately sized instrument.                        Yes  /  No

I plan to attend the rental night on September 15th at 6:30 PM.             Yes  /  No

I am interested in helping/joining the Music Boosters.                        Yes  /  No

I may be available to help with concerts.                                                Yes  /  No

                        ____pre-concert backstage help (lining up, supervision, etc.)

                        ____concert recording (taking video of concerts and getting a copy or

copies on DVD to Mrs. Corbin)

____bringing snacks/drinks

____post-concert stage clearing

____other:  _________________________________________________

 

Student/Parent Pledge

I understand that learning an instrument requires focused participation during class times as well as consistent and careful home practice.  I will do my best to be prepared for class each week and all performances.  I will learn my music on time and bring my instrument and music to each class.  When I am frustrated, bored, or struggling, I promise to contact Mrs. Corbin and ask for advice or help.  I will take care of my instrument responsibly. 

 

Student Signature:                ___________________________ Date: __________

Parent/ Guardian Signature:   _________________________ Date:  __________

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