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    Mr. Jim Shaw
Band Member Information    
Band members and/or Parents:

Please complete the following form so that we can keep our contacts list current.
Student Name
Parent/Guardian Name(s)
Street Address:
ZIP Code
Home Phone Number
Parent Work Phone
Please indicate which parent.
Other Phone Number
Either another parent work phone or a cell phone (please indicate which).
Subdivision or Apartment Complex Name
Student Class
Click next to the band class in which the student is currently enrolled.
Symphonic Band
Concert Band
Cadet Band
Percussion
Flute
Low Brass
Clarinet
Horn
Trumpet
Sax/Double Reeds
Student Instrument
Click next to student's current instrument.
Flute
Oboe
Bassoon
Clarinet
Bass Clarinet
Alto Saxophone
Tenor Saxophone
Baritone Saxophone
Cornet/Trumpet
Horn
Trombone
Euphonium/Baritone
Tuba
Percussion
Current Grade
6th
7th
8th
Parent E-mail Address
Student E-mail Address (if different from parents')
Parent Volunteer
Click the check box if willing to serve as a parent volunteer this year. If you are called to help with an activity and you have a conflict, you can always say no. Thanks!
Feel free to contact me regarding parent volunteer opportunities.
Private Lessons
Click the most appropriate response.
Our child is currently taking private lessons.
We would like to sign our child up for lessons! Please forward our contact information to the appropriate teacher.
We are not interested in enrolling in lessons at this time.
Name of Private Teacher (if taking lessons)
Rules Acknowledgement
I have read and understand the policies and guidelines set forth in the Wunderlich Band Handbook.
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