Student Information (Form A)
CENTAURUS HIGH SCHOOL BANDS, 2017-2018
Student First Name *
Your answer
Student Last Name *
Your answer
Student Birthdate *
Your answer
Student Grade for 2017-2018 *
Primary Parent or Guardian First Name *
Your answer
Primary Parent or Guardian Last Name *
Your answer
Secondary Parent or Guardian First Name *
Your answer
Secondary Parent or Guardian Last Name *
Your answer
Primary Parent Email *
Your answer
Secondary Parent Email
Your answer
Student Email *
Your answer
Street Address *
Your answer
City *
If "Other" is selected, please include City, State and Zip Code
Primary Phone Number *
Your answer
Secondary Phone Number *
Your answer
Student Cell Phone
Your answer
Besides Marching Band, what sports/activities is your student participating in during the fall semester? *
Your answer
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