Name: __________________________________ Grade: ___________

Instrument: ______________________________

Please mark all the activities that apply to you.

___________ 20 Points First Year Student

___________ 40 Points Second Year Student
___________ 60 Points Third Year Student
___________ 80 Points Fourth Year Student
___________ Max 25 Points Private Music Lessons--One point per lesson
Instructor’s Name: ______________________________
___________ 10 Points Honor Band or Orchestra Participant
___________ 10 Points CMEA/CBDA Band Participant
___________ 10 Points Solo/Ensemble Festival Participant
___________ 5 Points Score of “1” at Solo/Ensemble Festival
___________ 20 Points Madrigal Musician
___________ 20 Points Musical Pit Participant
___________ 20 Points Ensemble Member
___________ 20 Points Jazz Band Member
___________ 10 Points Participation in Haunted House
___________ 10 Points Participation in Crab Feed
___________ 20 Points Band-Orchestra Student Council Officer

___________ Total Points If you have earned 100+ points, you are eligible for a
Music Letter or Pin to add to you Letter