WHS Band: 2018-2019 Student Profile & Medical Form
Student Profile, Medical Form & Financial Policy
Student Last Name *
Your answer
Student First Name *
Your answer
Address *
Your answer
City *
Your answer
Zip Code *
Your answer
Student Email
Your answer
Student Cell
Your answer
Student Date of Birth *
MM
/
DD
/
YYYY
Student Grade Level *
For the 2018-2019 school year
Primary Band *
Primary Instrument *
Student T-Shirt Size *
Select a size large enough to fit for two years.
Parent/Guardian #1 Last Name *
Your answer
Parent/Guardian #1 First Name *
Your answer
Parent/Guardian #1 Email *
We must have at least one email on file per family. This is our primary mode of communication.
Your answer
Parent/Guardian #1 Mobile Number *
We must have at least one mobile number on file per family to receive texts.
Your answer
Parent/Guardian #2 Last Name
Your answer
Parent/Guardian #2 First Name
Your answer
Parent/Guardian #2 Email
Your answer
Parent/Guardian #2 Mobile Number
Your answer
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