Band Registration Form

Student Namerequired

First Name

Last Name

Parent/Guardian Namerequired

First Name

Last Name

Second Parent/Guardian Name (optional)

First Name

Last Name

First Parent/Guardian's Email Addressrequired

First Parent/Guardian's Cell Phone Number

Second Parent/Guardian's Email Address (optional)

Second Parent/Guardian's Cell Phone Number (optional)

Student's Email Addressrequired

Student's Cell Number

Communication Preference?

Communicate by Email

Communicate by Cell Phone

Pleasant Hill’s annual Jazz Festival is the music department’s major source of funding for buying music, repairing and purchasing instruments, renting buses, and paying festival and competition fees. This year the festival is Saturday, April 20th. It takes many volunteers, parents and community members, for the festival to be successful. All parents are expected to help the day of the festival. Please check the box if you’d be interested in helping in our steering committee.

Yes I would like to participate in the Steering Committee

I am interested in chaperoning. (Must fill out back ground check at district office.)

I am interested in chaperoning. (Must fill out background check at district office.)

First Parent/Guardian Signaturerequired

Second Parent/Guardian Signature (optional)

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