Student Information & Course Expectations Acknowledgement
Frank W. Cox High School | 2019-2020 | Orchestra | Mr. Fields

By completing the form below, we indicate that we have read the Frank W. Cox High School Orchestra Course Expectations. We understand that we will be responsible for its contents and will adhere to the orchestra’s policies and procedures. We will refer to the course expectations when questions arise as to rules and regulations that apply to the organization.

You can reference the course expectations document on Schoology and our website (www.falconorchestra.com)
Student LAST Name *
Your answer
Student FIRST Name *
Your answer
Student Email *
Your answer
Student T-Shirt Size *
Student Birthday *
MM
/
DD
/
YYYY
Student Grade Level *
Student's Instrument *
Which orchestra class are you enrolled in? *
Required
List any after school clubs, activities, or sports that you participate in.
Your answer
Anything you want Mr. Fields to know about you (excitement, concerns, questions, etc.)?
Your answer
Parent/Guardian Contact #1 *
Your answer
Parent/Guardian Contact #1 - Relationship to Student *
Required
Parent/Guardian Contact #1 - Email *
Your answer
Parent/Guardian Contact #1 - Cell Phone *
Your answer
Parent/Guardian Contact #1 - Work or Home Phone *
Your answer
Parent/Guardian Contact #2
Your answer
Parent/Guardian Contact #2 - Relationship to Student
Parent/Guardian Contact #2 - Email
Your answer
Parent/Guardian Contact #2 - Cell Phone
Your answer
Parent/Guardian Contact #2 - Work or Home Phone
Your answer
Student Electronic Signature *
Your answer
Parent/Guardian Electronic Signature *
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Virginia Beach City Public Schools. Report Abuse