Moultrie Music Class-Registration Form
Indicate your music class preference for the 2025-26 school year
Student Legal Name
*
First Name
Middle Name
Last Name
Preferred Name
Preferred Name or Nickname
Pronunciation if needed
Music Class you wish to join
*
Please Select
Band
Chorus
Orchestra
Orchestra and Chorus
Band and Chorus
Band and Orchestra
Elementary School
*
Please Select
James B. Edwards Elementary
Mount Pleasant Academy
Sullivan's Island Elementary
Whitesides Elementary
Other
Parent/Guardian Email #1
*
example@example.com
Parent/Guardian Email #2
*
example@example.com
Student E-mail
example@example.com
Parent Cell Phone #1
*
Please enter a valid phone number.
Parent Cell Phone #2
*
Please enter a valid phone number.
Grade Level for 2025-26 school year
*
Please Select
6th
7th
8th
Additional Comments
Submit Application
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