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Smartmusic Impact Enrollment Permission Form

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43 views

Smartmusic Impact Enrollment Permission Form

Uploaded by

api-234489513
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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SmartMusic Impact Enrollment Permission Form

You do not need to purchase a SmartMusic subscription for enrollment.



I, ____________________ (parent name), give _____________________________ (student
name) permission to enroll in the SmartMusic Impact Grade Book. The program and information
will be used exclusively for SmartMusic Impact and will remain confidential. I give Darren
Seymour or Jeff Dare permission to assist my student in the enrollment process.


____________________________________ __________________________________
Parent Signature Date

Please complete the information below. This will be used to enroll the student in the SmartMusic
Impact Grade Book.

*Use your school e-mail and Password.

*The e-mail listed is where the assignment reminders will be sent. A parents email address can
be added to the account in order to access grades and assignments.

*The Password will be kept confidential. It is kept on file just in case the student forgets his or her
Password.

Please PRINT clearly

School E-mail used for SmartMusic login:

SmartMusic (School) Password:


Student Information

First Name: Gender: Male Female

Last Name: Grade Level: 5 6 7 8 9 10 11 12

Street Address:

City, State Zip Code: Instrument/Voice:

Phone:


Parent/Guardian Information

First Name: Last Name:

Guardian E-mail

To find out more about SmartMusic, or to purchase a copy for home, go to www.smartmusic.com.

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