Band Enrichment for 4th & 5th Graders in 2025-2026

The Lakeview Elementary PTSA is excited to offer a Band enrichment program open to 4th and 5th graders that attend Lakeview Elementary. Thanks to community support and feedback, we can make this opportunity available to our students. Students will learn to play a band instrument and perform music together in an ensemble with their peers. Concerts will be held throughout the year to celebrate their musical progress and growth.

The program will be held before/after school at Lakeview Elementary from Oct 6, 2025 through June 5, 2026. Please note: 1. This program is run by the Lakeview Elementary PTSA, 2. We need to charge a fee to make this program possible, 3. You will need to provide your student transportation to/from the program, 4. A small number of volunteers is required. More info: https://lakeviewptsa.membershiptoolkit.com/bandprogram

If you paid the deposit, please click here to pay the remaining program fee.

Questions? BandEnrichment@lakeviewptsa.org

Item Description		Price
	Beginning Band New to playing the instrument more Enrichment Program: Band We are excited to share that the Lakeview Elementary PTSA is offering a new Band enrichment program open to 4th and 5th graders. We have received positive feedback from the community and believe this is an important opportunity for our students. Students will learn to play a band instrument and perform music together in an ensemble with their peers. Concerts will be held throughout the year to celebrate their musical progress and growth. https://lakeviewptsa.membershiptoolkit.com/bandprogram	$641.00
	Intermediate Band Were in band during the 2024-25 school year. more Enrichment Program: Band We are excited to share that the Lakeview Elementary PTSA is offering a new Band enrichment program open to 4th and 5th graders. We have received positive feedback from the community and believe this is an important opportunity for our students. Students will learn to play a band instrument and perform music together in an ensemble with their peers. Concerts will be held throughout the year to celebrate their musical progress and growth. https://lakeviewptsa.membershiptoolkit.com/bandprogram	$641.00
Parent Guardian Name Parent/Guardian Email address Parent/Guardian Mobile Phone I give permission for my student to attend Band Enrichment during the 2025-2026 school year: Before School for Beginning Band, After School for Intermediate* I acknowledge that I will arrange transportation for my student* Drop-off for Beginning Band, Pick-up for Intermediate Band ---------------- I would like to chaperone and will be on the LWSD Volunteer List by 9/30/2025.* Chaperones for the entire year will have their program fee waived. Student First Name Student Last Name Grade Level* Elementary School* Instrument* We would love to have more brass and percussion students! If your student wants to play something other than flute, clarinet, trumpet, trombone, baritone/euphonium, please reach out to the instructor before Band starts to get permission. ----------------- As parent, or legal guardian, I authorize a qualified physician to examine the above-named student and in the event of injury to administer emergency care and to arrange for any consultation by a specialist, including a surgeon, as deemed necessary to insure proper care of any injury. I understand that every effort will be made to contact parent or guardian to explain the nature of the problem prior to any involved treatment. Student Address Student Home Phone Student Date of Birth MM/DD/YYYY Describe any medical condition, including allergies that could impact the student’s enrichment class experience --------------------- In the event of an emergency (injury, illness and unforeseen incident), the following person must be notified in case the parent/guardian cannot be contacted: Emergency Contact Name Emergency Contact Phone -------------------------------------------------------- We’d love to share the joy of band! May we photograph the class and use the images for social media and internal newsletters? Please check one: (reset) Yes, I give permission to photograph my child for use in social media and internal newsletters. No, I do not give permission.

Program Refund Policy
A prorated refund, including the deposit, will be awarded only when: A student is injured and is unable to participate (a signed physician’s note required). A family moves beyond a 50-mile radius of the program. (reset) I acknowledge the Program Refund Policy
	Donate to the Band Enrichment Program All donations will go towards Band.	$