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Student Information
Please complete survey fully ~ you will have the opportunity to edit answers after you submit form. Trying to go back in the middle of survey will cause all previous answers to be deleted.
Last name *
Your answer
First name *
Your answer
Middle Name
Your answer
Preferred Name
Your answer
Graduation date *
Student ID#
Your answer
Gender *
Student's Gender Identity is:
Birthdate *
Your answer
Street Address *
Your answer
City *
Your answer
Zip Code *
Your answer
Student email *
Please be sure to enter this correctly, as we will use this email to communicate with the student throughout the year
Your answer
Student phone number *
Your answer
Home Phone Number
If you have a land line
Your answer
Band *
Instrument *
Marching Band Instrument
Jazz Band Instrument
Concert Uniform *
Height *
(e.g., 5 feet 6 inches)
Your answer
Your answer
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