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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
Class of: *
Student ID Number
Your answer
Gender *
Student's Gender Identity is:
Housing Gender Preference *
Housing (cabins for camp and rooms for tour) are determined based on comfortability of all students. Our standard practice is to assign housing according to a students' consistently asserted gender identity. If you have any questions regarding housing assignments, please contact the director.
Birth Date (MM/DD/YY) *
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's Cell Phone Number
Your answer
Home Phone Number
If you have a land line
Your answer
Band(s) *
Required
Concert Instrument *
Required
Marching Band Instrument
Jazz Band Instrument
T-shirt Size (Adult sizes) *
Concert Uniform Preference
Height *
(e.g., 5 feet 6 inches)
Your answer
Weight
(Pounds)
Your answer
Band Camp Registration? *
Symphony and Concert Band members are expected to attend Pioneer Band Camp. The remaining camp spaces are made available to Pioneer Varsity Band students on a first-come, first-served basis as determined by date of application and by instrumentation needs.
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