YHS Bands Registration

Student Information

Required fields are indicated by an asterisk. Before you submit the form, you will have a chance to fix any mistakes. If you have any questions when filling out this form, please email [email protected].

Student Name * 

Please enter your full name.

Birthday * 

In the format mm-dd-yyyy

Grade * 

9
10
11
12

Instrument * 

Flute
Oboe
Clarinet
Bass Clarinet
Alto Saxophone
Tenor Saxophone
Bari Saxophone
Trumpet
French Horn
Trombone
Bass Trombone
Euphonium
Tuba
Bassoon
Percussion

Street Address * 


Town * 

Yorktown Heights
Mohegan Lake
Mount Kisco
Cortlandt Manor
Chappaqua
Ossining
Peekskill


Student Home Phone Number * 

MUST BE IN THE FORMAT XXX-XXX-XXXX


Student Cell Phone Number * 

MUST BE IN THE FORMAT XXX-XXX-XXXX


Student Yorktown.org Username * 

MUST BE IN THE FORMAT FirstName.LastName. DO NOT INCLUDE "@yorktown.org".


Student Email Address  

If you'd like to receive messages at another non-yorktown.org address. Parents/guardians will be able to add other email addresses later in this form.
MUST BE IN THE FORMAT [email protected]