2020-2021 Blue Darter Band Family Membership Form
Hello! And welcome to the 2020-2021 Blue Darter Band! Please take a few minutes and provide the requested information so we can better provide details about our year ahead! If you have any questions, please feel free to contact Mr. Langford at jeremy.langford@ocps.net.

We are excited about our incredible year ahead and having you as part of our family!

IEGYB!
Email address *
Member First Name *
Member Last Name *
2020-2021 Grade Level *
Primary Instrument *
Secondary Instrument
Mailing Address *
City *
Zip Code *
OCPS Student Email (Student ID@students.ocps.net) (If you are new to the area and do not yet have one, please write NA) *
Student Personal Email (Non-OCPS) *
Parent #1 First Name *
Parent #1 Last Name *
Parent #1 Email *
Parent #1 Phone *
Can the Parent #1 phone number receive text messages? *
Parent #2 First Name
Parent #2 Last Name
Parent #2 Email
Parent #2 Phone
Can the Parent #2 phone receive text messages?
Clear selection
If you are new to the Blue Darter Band, where are you coming from? If out of state, please also list your city/state.
Jazz: To ensure we do not overlook anyone that wishes to be considered for jazz ensemble, please check below regarding your desire to also add jazz to your course schedule. This includes those that have already marked it accordingly on your 2020-2021 Course Request. *
A copy of your responses will be emailed to the address you provided.
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