Meriden Public Schools Performing Arts

Instrumental Music Registration Form

Instrumental Music instruction is available to all Meriden Public School students in grades 4 through 12. All elementary and middle school parents/guardians interested in having their student participate in instrumental music must sign-up using the registration form below. For more information on instrument rental or purchase options, please click here.

We ask that all instrumental sign-ups take place prior to June 1st 2016 for the 2016-17 school year.

Please note that the payment discussed below is for the rental of a district instrument. There is no cost for participating in instrumental music unless you are renting  an instrument from the district. If you are obtaining an instrument from a music store or other means, simply register and you are all set!  

If you have any questions about the registration process or general inquiries pertaining to the Meriden Public Schools Music Department, please contact Brian Cyr, Fine Arts Coordinator at brian.cyr@meridenk12.org.


Student Information: (* denotes required fields)

Student Name *
School Attending as of September 2017 *
Grade as of September 2017 *
Student Primary Address *
Apartment
City *
State *
Zip *
Student Email Address

Parent / Guardian Information:

Primary Parent / Guardian Name *
Primary Parent / Guardian Email Address *
Primary Parent / Guardian Phone *
Additional Parent / Guardian Name
Additional Parent / Guardian Email Address
Additional Parent / Guardian Phone

Instrument Information:

Is this the student's first year playing an instrument with the Meriden Public Schools? *
 

Please select your first choice of instrument to play *

We will do our best to honor first choices, but class sizes, instrument availability and ensemble configuration all play a role in instrument selection.

Please select your second choice of instrument to play *

Please select your instrument from the list below *


Instrumental Rental:

Please note that instrument rental fees now include the price of student method books necessary for instrumental lessons.

Please also note that there are need-based fee reductions for those who qualify.

Percussion Requirement: Students interested in playing percussion need to purchase a bell kit and drum pad combo set. These sets are available online and through area music stores. Examples of these combo sets can be found on our website.

We wish to rent an instrument through the school system for the coming school year. We understand that there is a fee of $70.00 associated with this rental and all fees are due prior to the start of the school year. We also understand that there are limited quantities of instruments that are available on a first-come-first-serve basis.

Would you like to rent an instrument from the Meriden Public Schools? *
 

Please select your instrument to rent from the list below *


Parent/Guardian Authorization

I understand that by signing this form, I am giving permission for my student to take part in instrumental music for the coming school year. I understand that there are fees associated with this decision and I further understand that there will be expectations of my student outside of the school day.

Enter Full Name *
Date Signed *