Fine Arts Academy - James D. Randolph Kiltie Band

Name of student: Name of student: First Last
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone Phone - ### - ### ####
Email
The student is a/an:

The student is a/an: Adult Student (Grades 9-12) Student (Grades K-8)
Name of Parent/Guardian (if under 18) Name of Parent/Guardian (if under 18) First Last
Age of Student (if under 18)
Will you be joining as a bagpiper or drummer?

Will you be joining as a bagpiper or drummer? Bagpiper Drummer Unsure