Naperville Community Unit School District 203

Junior High School of Attendance	Madison
ID Number
First Name
Last Name
Gender	Male     Female
Parent/Guardian
Street Address
Apartment
City
State	Illinois
Zip Code
Home Phone
Mom E-mail (optional)
Dad E-mail (optional)

Applied Arts and Sciences:

All 6th grade students participate in the Applied Arts and Sciences rotation consisting of Music, Art, FACS (Family and Consumer Science), and Technology.

Performance Music:

You may select band, chorus, and/or orchestra in place of part or all of your supervised study period.  Please check those courses in which you would like to participate.

Select (0, 1, or 2) from the following:

Band       Chorus     Orchestra     None  

REMINDERS:

• ***DOUBLE CHECK YOUR FORM*** 
• You may make changes to your form prior to clicking SUBMIT or you may clear the form by clicking RESET below. 
• Once you have completed this form, click SUBMIT below ONE (1) time and print the confirmation page. 
• Students are required to get their parent's signature on this confirmation page and return it to school. 
• If there are changes that need to be made after submitting your form, parents may indicate those changes on the confirmation print out and return it to school, with parent initials by the change(s). 

***DO NOT GO BACK AND SUBMIT A NEW FORM*** 

Parent Signature:  ________________________________________