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Beginning Band Registration Form
Student’s First Name:
Last Name:
Address:
City:
Zip Code:
Home Phone:
Grade:
School:
Instrument:
Birth Date (MM/DD/YYYY):
Parent Email:
Father’s First and Last Name:
Business Phone:
Mother’s First and Last Name:
Please indicate the learning center you will attend for your FIRST CLASS SESSION
so that we may have materials prepared for your student:
Mondays, Grant Avenue Community Center, 4:30-5:30 p.m.
Mondays, Horizon Middle School, 4:30-5:30 p.m.
Tuesdays, Moody Elementary School, 7:50-8:50 p.m.
Tuesdays, Montbello Recreation Center, 4:30-5:30 p.m.
Tuesdays, Ascension Lutheran Church, 5:30-6:30 p.m.
Wednesdays, Lutheran Church of the Holy Spirit, 5:30-6:30 p.m.
Thursdays, Free Horizon Montessori, 3:30-4:30 p.m.
Thursdays, Cook Park Recreation Center, 4:30-5:30 p.m.
Thursdays, Faith Christian Academy, 4:00-5:00 p.m.