Pell City Band of Gold Commitment Form
Please fill out all information
Student First Name *
Your answer
Student Last Name *
Your answer
Grade you will be in next Fall *
Student Instrument *
Student Cell Phone Number *
Your answer
Student Email *
Your answer
Student T-Shirt size *
Parent's Name *
Your answer
Parent Email *
Your answer
Parent Email #2
Your answer
Street Address *
Your answer
City *
Your answer
Zip Code *
Your answer
Parent's Cell Phone Number *
Your answer
Parent's Cell Phone #2 *
Your answer
Confirmation Fee
Please send the $25 Confirmation Fee by April 14th, 2017. Make checks payable to PCHS Band.
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