Franklin Silver Cornet Band
2008 Summer Youth Program
JR SILVER C’S
Registration Form
Student’s Name: _______________________________________Home Phone ________________________
Address: _____________________________________________________________
_____________________________________________________________
Parent’s Name: ________________________________________________________
Parent’s phone during rehearsal time __________________________________
Email: ____________________________________________________
Allergies, medical conditions or other noteworthy concerns:
____________________________________________________________________________________
Circle adult shirt size: S M L XL
Name of School: _____________________________Last Grade Completed: ______________________
Instrument: _______________________________Years of Instruction: ________________________
( ) $20 registration fee is enclosed (CHECKS ONLY) Payable to Franklin Silver Cornet Band
( ) please waive registration fee
Please read the following statement and sign below
I understand that band members are expected to attend all rehearsals and the concert. Unexcused absences from rehearsals may disqualify a band member from participating in the concert. Band members are expected to act responsibly and respectfully toward the building, band equipment, program leaders, and fellow band members at all times. Parents will be notified immediately if a problem develops and the band member may be asked to leave the rehearsal and/or program. Band members are not permitted to leave the church property during rehearsal time without prior parental permission. Band members should be picked up promptly after rehearsal.
Parent’s Signature ________________________________________ Date _________________
Student’s Signature_______________________________________ Date_________________