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Online Registration
1. Please select the best description for YOU:
Select One
I am the parent or legal guardian of student.
I am a band director or other music instructor.
I am the student and I am 18 years or older.
I am the student and I am younger than 18 years.
2. Name of Person Completing Form - Salutation:
Select the Proper Salutation
Mr.
Mrs.
Ms.
Dr.
No Salutation Applies
3. First Name:
4. Last Name:
5. Name of Student:
6. First Name:
7. Last Name:
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8. Select the best description for the student:
Select One
Currently in or will soon be in public school band.
Currently in public school but not in the band.
Currently or soon to be home schooled.
Currently in or will very soon be in college.
Beyond school - adult community member.
Other - please contact Ms. Rhodes with more details.
9. If student is in school, please select the school:
Select One
Chisum ISD
North Lamar ISD - North Lamar High School
North Lamar ISD - Stone Middle School
Paris ISD - Paris High School
Paris ISD - Travis Junior High School
Paris ISD - Crockett Middle School
Prairiland ISD
Rivercrest ISD
Other .. Please Contact Ms. Rhodes With This Information
10. List number of years of experience with flute:
Grade in School:
Select One
Not Applicable
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Other .. Please Contact Ms. Rhodes With This Information
11. Student's mailing street address or PO Box:
12. City:
13. State:
Choose a State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
Washington D.C.
West Virginia
Wisconsin
Wyoming
Postal Code:
14. Phone Number:
15. Parent's Cell Phone:
16. Email Address:
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North Lamar and Chisum ISD Students - Click
HERE
All Other Students - Click
HERE
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As you may be aware, Paris ISD will be starting school two weeks later than most other school districts because they have to move into the new campuses. My own children attend Paris ISD, therefore I will not be available to teach lessons during the school day during those first two weeks. I will attempt to schedule lessons for after school until I find myself available to teach during the school day. Please make a note of all after-school times and evenings when you absolutely will NOT be able to take a lesson. Please be as flexible as possible.
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If one of your selections contained the instruction "Contact Mrs. Rhodes with this information", use this text area to submit detailed information:
Click Here To Read Studio Policies
You must select that you agree to the studio policies to continue
I have read and agree to the studio policies.
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Online Registration - North Lamar and Chisum ISD Students
As per your school's Private Lesson Program Terms, you will need to complete a contract from your band director..
25 or 30 minute lessons will count as 1 contract lesson. If you have any confusions, please don't hesitate to
ask me.
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