Instrumental Music Enrolment Request

Student Name (first and last)*

Parent/Guardian Name (first and last)*

Parent/Guardian Email*

Parent/Guardian Phone*

Please advise us of your preferred instrument(s)

First Preference

---FluteClarinetSaxophone (Alto or Tenor, to be decided in first lesson)TrumpetTrombonePianoGuitarEuphoniumTubaBass GuitarPercussion

Second Preference

---FluteClarinetSaxophone (Alto or Tenor, to be decided in first lesson)TrumpetTrombonePianoGuitarEuphoniumTubaBass GuitarPercussion

Third Preference

---FluteClarinetSaxophone (Alto or Tenor, to be decided in first lesson)TrumpetTrombonePianoGuitarEuphoniumTubaBass GuitarPercussion

Do you have your own instrument?

YesNo