2017-2018 Boardman Band Forms Master
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Student Information
Student's Last Name *
Student's First Name *
Grade *
(for 2017-2018 school year)
Date of Birth *
MM/DD/YYYY
Street Address *
Zip Code *
Home Phone
Student's Cell Phone
Student's Email Address *
Instrument Info
Marching Instrument
Do you have your own?
Clear selection
Brand, Model, Serial Number
This is good info to have and know, but not crucial. Move on if you don't have it.
Concert Instrument
Do you have your own?
Clear selection
Brand, Model, Serial Number
Jazz Instrument
Only if enrolled in Jazz 1 or 2, or if you will play in Jazz 3 this year
Do you have your own?
Clear selection
Brand, Model, Serial Number
Family Information
Father's Name
Father's Address
(if different from student's)
Father's Cell Phone
Father's Email Address
Mother's Name
Father's Occupation/Company
Father's Work Phone
Mother's Address
(if different from student's)
Mother's Cell Phone
Mother's Email Address
Mother's Occupation/Company
Mother's Work Phone
Guardian's Name
(if not parent)
Guardian's Address
(if different from student's)
Guardian's Cell Phone
Guardian's Email Address
Guardian's Occupation/Company
Guardian's Work Phone
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