Band Signup Form

Welcome to Pickering Academy! We are so excited to have you join one of our bands! Please complete this form, click submit, and one of our team members will reach out to you to discuss options and scheduling. Rock on, Superstar!

Student(s) First Name(s) - Separate multiple students names with commas *

Student Last Name *

Student(s) Date(s) of Birth - Separate multiple students DOB with commas *

Parent/Guardian Full Name *

Parent/Guardian Email *

Parent/Guardian Phone *

What Instrument(s) do you play? *

If you are a Pickering Student, who is your Instructor? *

Any Details You Want to Add?

How Did You Hear About Us? *

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