2008 Summer Band

Registration Form

 

 

Student’s Name _____________________________________________________________________________

 

Parent/Guardian Name______________________________________________________________________

 

Street/City/Zip ______________________________________________________________________________

 

Telephone number ____________________   Elementary School ________________________________

 

Instrument _____________________________________Current grade in school ___________________

 

Current school__________________ Parent email address______________________________________

 

Carpool List: Please place my name and telephone number on a list for parents interested in a car pool for students in my area.  I understand that it will be my responsibility to make any arrangements needed to participate in a car pool.  The car pool list will be posted outside the band room on the first day of music camp.

 

                                 YES                                                                    NO

 

I will be playing in the following (check one):

 

             Intermediate Band (entering 6th grade)                               

 

             Advanced Band (entering grades 7th or 8th)

 

 

Tuition is $50 for the 3-week session if received by May 14th.  If received between May 14th and May 27th, tuition increases to $60.  No registration forms will be accepted after May 27th!  There will be no written confirmation of acceptance into the program.  All District 87 music students are automatically accepted. 

 

Please return the completed registration form with your tuition check to:

Michele Reckers

c/o Bloomington Junior High School

901 N. Colton Ave.

Bloomington, IL    61701

 

 

Make checks payable to BLOOMINGTON PUBLIC SCHOOLS.

 

 

 

Parent Signature __________________________________________________  Date ____________________