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Vocal Notes
Please complete the contact information to receive communications from the Vocal music Department. Thank you!
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Student Name (Last First)
*
for example: Smith NancyJo
Your answer
Mother's Name (Last First)
*
for example: KerseySmith, JoLynn
Your answer
Father's Name (Last First)
*
for example: Smith, Joseph
Your answer
Mailing Address
*
Please include street type after street name: boulevard, avenue, drive, etc.
Your answer
City
*
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State
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Zip Code
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Student Grade Level
*
Choose
5
4
3
Home Phone Number
Please include area code first in parenthesis. For example (337)
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Mother's Cell Phone Number
Please include area code first in parenthesis. For example (337)
Your answer
Father's Cell Phone Number
Please include area code first in parenthesis. For example (337)
Your answer
Special Restrictions
Please indicate whether your child has any of the needs or restrictions listed below.
Allergy To Foods
Allergy Environment (animal, plant, others)
Religious Restrictions regarding Holidays or Activities
Physical Limitations
Special Education Needs
Please describe the conditions/allergents/needs/restrictions in the next space below:
Other:
Email Address
(this will only be used for school/classroom purposes)
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Secondary Email Address
(if you have two addresses that need to be contacted)
Your answer
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