Chorus Family Info Collection: PCHS 2017-2018
A VERY IMPORTANT data collection tool for the use of communication and recording keeping for our program!  Parents should assist their kids in filling out this form!  Information will only be available to Mr. Bensen and applicable Booster officers who agree to confidentiality.    
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Student Name: LAST, FIRST *
Chorus Class Enrolled In *
Parent(s) Name(s): *
Parent Phone Number(s): Note-- you will be automatically added to the communication service, which features very limited reminders from Mr. Bensen regarding important program items; you can remove yourself from the list at any time.   *
Parent Email Address(es) *
Home Address for Student *
Are there particular medical needs that the students has, that might be relevant during class instruction or during potential field-trips?  Please explain, including related medications.  Answer "none" if not applicable.   *
Student t-shirt size (adult standard sizes) *
Student Phone Number (for use in setting up  communication list and for field trip rosters) *
Student email address (WCPSS)... usually in the format student name 
Parents: Do you plan to attend the Parent Meeting for chorus, being held on Tues. Sept. 5 at 7pm in the chorus room? *
Does the student have access to a personal  internet-capable device at school (for in-class and out of class assignments): *
Students/Parents:  Have you accessed our Choral Dept. Handbook available at and read the policies and procedures for this program? *
Students/Parents: Are you aware that financial assistance is available for related program expenses through our Choral Booster organization? IF you believe you may need some financial assistance for FairShare or applicable outfit expenses, please describe in the "other" option below-- we want to make sure that ALL students can participate without financial hardship in this excellent program! *
Parents: Are you interested in helping this program by volunteering to help with after-school choral activities? Please indicate below what you think you might be able to assist with:
Parents: Are you available DURING the school day to come in and help with various program needs (outfit sizing, fundraiser sorting, document collection, etc.)?  
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