2021-2022 Advanced Orchestra Registration (9-12)

Student Information (One Form per Student Required)

Legal First Name *

Name used at SCHOOL *

Last Name *

Instrument (Please pick from the drop-down) *

Grade *

Address 1 *

Address 2

City *

State *

Zip *

Email *

Cell Phone *

Parent/Guardian Contact

Relationship to Student: *

Mother

Father

Guardian

First Name *

Last Name *

Cell Phone *

Alternate Phone

Email Address *

Willing Hands:

Please contact me when you need volunteers.

Additional Parent/Guardian Contact

Relationship to Student:

Mother

Father

Guardian

First Name

Last Name

Check here if you live at the same address as student.

Please fill in the address below if different from student's:

Address 1

Address 2

City

State

Zip

Cell Phone

Alternate Phone

Email Address

Willing Hands:

Please contact me when you need volunteers.

Advanced Orchestra Costs (due 9/31/21)

Please check the contributions/donation you are paying at this time. (If you have a student in band AND orchestra, you only pay the Band costs for your orchestra student.) *

Program Contribution - includes t-shirt, instruction, group photo & MPA membership ($200)

Retreat - ($250)

Transportation ($100)

Student Donation - to sustain the programs by building reserves and funding shortfalls ($200)

Instrumental rental - applies to instruments rented for home and school use. You will need to complete a form and get the instrument from Ms. Munday. ($200)

Require Financial Assistance - Financial Request Form is available after completing this page.

ANNOUNCEMENTS:

Concert Wear

All freshman and sophomores must purchase concert wear (Men: black tux, Women: black dresses). The prices differ based on used/new items and you will be billed later. Please expect to pay about $150 for tux and $60 for dress.

Disneyland

At this time there is no plan for this activitiy, but we will be informed if plans change. The cost of this activity is always separate from registration and we will be billed at a later date if we go.

Current Total:

$0.00

You can pay by PayPal or by Check once you submit the form. If you are paying by PayPal, we appreciate you adding 2.25% of your total to cover the PayPal fee. Select your payment method below: *

Paying by check (please print Order Summary page and submit with payment)

Paying via PayPal (2.25% fee)

La Canada High School Music Parents Association Proudly Supports the La Canada High Schol Instrumental Music Program. Contributions / Donations you are paying can be tax deductible to the extent allowed by law. LCHS Music Parents Association is a non-profit 501(c)(3) organization. Tax ID:95-4369334.

La Canada High School Music Parents
PO Box 1307
La Canada, CA 91012
http://www.lchsmusic.org

Non-profit 501(c)(3) organization