4th grade Survey
All 4th graders need to complete this survey! Please complete BEFORE FRIDAY MAY 3rd! 
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Email *
Student First Name *
Student Last Name *
Student ID (lunch number) *
Parent/Guardian Name *
Parent/Guardian e-mail address #1 *
Alternate e-mail address (not required)
Please pick which school you attend *
Class Request *
If you are picking Band or Orchestra please pick your top 3 choices --------------------- Do not forget to pick 3 separate instruments! Select one instrument per column
First Choice
Second Choice
Third Choice
Tuba
Baritone
Trombone
French Horn
Trumpet
Clarinet
Alto Saxophone
Flute
Bass
Cello
Viola
Violin
Percussion
Clear selection
Do you already own an instrument? *
If yes, what instrument do you own?
Do you take private lessons? *
What instrument do you take private lessons on?
Do you have any other children in your home that play an instrument? If so, which instrument do they play?
Did you do a trial lesson on any instruments OUTSIDE of school? *
If yes, please answer the following: 1. Where did you do the trial?  2. What instruments did you trial? 3. Which instrument (or instruments) were your favorite AND why?
Are you willing to keep your commitment to the music program at GFMS by: following the practice plan that your teacher has established, attending concerts, and a minimum of 20 weeks of study on your instrument and/or participating in chorus? *
Classroom Teacher's Name
A copy of your responses will be emailed to the address you provided.
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