5th Grade Band Sign-In Form
Please Return to Mr. Kutylo
Student Name:
Instrument:
Parent Name:
Home Number:
Cell Number:
Work Number:
Email Address:
What’s the best way
to reach you?
(Phone/email/text)
Classroom Teacher:
Do you text?
Yes
No
Do you have access to internet?
Yes
No
Do you and your child use a Mac or PC?
Mac
PC
Does your child have use of an iPad at home?
Yes
No
Is English your primary language at home?
Yes
No
Can you assist during early morning band rehearsals? Yes
No
Can you assist at concerts?
Yes
No
Would you be interested in helping with media for
band? (i.e. pictures, video, etc.)
Are you able to carpool? (rehearsals/events/etc.)
Yes
No
Yes
No
Will you allow your child to be
photographed/videotaped for school purposes?
Did you order a wire folding stand?
Yes
No
Yes
No
Did you order the Tradition of Excellence Book 1?
Yes
No
Did you order all required supplies? (reeds, oil, etc.)
Yes
No