Band/Orchestra
Enrollment Form
Please return this form to Ms. Berger’s (Orchestra) or
Mrs. Philbrick’s (Band) mailbox by Friday, September 7th
_____ 1st year player _____ 2nd year player
Student’s name ______________________________________________
School___________________________
Parent’s name ___________________________________________________________
Preferred phone ____________________________________________________
Parent’s email____________________________________________________________
The following instruments will be taught:
Band (Ms.Philbrick/Mr. Carroll) Orchestra (Ms. Berger)
Trumpet Trombone Baritone French Horn Violin Viola Cello Bass
Flute Clarinet Saxophone Percussion
Beginning students should list their 1st and 2nd choices (if applicable)
1st choice______________________________ 2nd choice_____________________________
_________ We will rent an instrument from a music store.
_________If you are unable to attend the Information Night please leave a message for
Ms. Philbrick (philbrickm@district65.net) 847-859-8651 or Ms. Berger
(bergera@district65.net) at (847) 733-3080.
Scholarship instruments are available to students on free or reduced lunch for an
annual fee of $45. Please call (847) 859-8651 to have your child’s name added to the
scholarship list. Please leave your child’s name, grade, school and instrument they
would like to play. You may also email (bergera@district65.net or
philbrickm@district65.net)
_______ We are on free or reduced lunch and would like to apply for a scholarship
instrument.