Student Information:
Grade _______ Teacher______________________
Parent Information:
First Name(s) ____________________________ Last Name____________________
Address______________________________________________________________
Phone # ________________________
Classes will be on Tuesdays, 3:00 – 4:30 p.m.
We won’t be able to provide transportation; therefore, parents will need to pick up their students after the sessions.
Students should rate their FIRST choice (1), SECOND choice (2), and THIRD choice (3):
_____ Guitar – Do you have a guitar? YES NO
_____ Vihuela - Do you have a vihuela? YES NO
_____ Guitarron – Do you have a guitarron? YES NO
_____ Trumpet – Do you have a trumpet? YES NO
_____ Violin – Do you have a violin? YES NO
Are you in Advanced Strings? YES NO
Students: Please explain what experience you have with Mariachi_________________________________
Anything other information that you would like to add? _________________________________________
I give my permission for ___________________________________ to participate in the Lewis and Clark Elementary Mariachi Program for 2007-2008. I understand that if my child is given a school instrument to use during the class, I am financially responsible in the event of damage, loss or needed repair.
I would like to be contacted to help with the Mariachi class: YES NO
Parents signature _________________________________ Date __________
Return application to Mr. Bull