UHR Student Online Registration Form
We need ALL members (new AND returning) to complete this form. Regiment includes both band and color guard students. Please only submit one form per student.

The link to this form is: bit.ly/uhrreg
Student Information
Student's First Name *
Enter the student's first name.
Your answer
Student's Last Name *
Enter the student's first name.
Your answer
Grade *
What grade will this student be in during the 2019-2020 school year?
Regiment Section *
This question is about the section a student will be in during Regiment season. For example, some band students play different instruments in Regiment vs. Concert Band, etc. We want to know about REGIMENT, not Concert, Symphonic, Jazz, etc.
Parent/Guardian's First Name *
Your answer
Parent/Guardian's Last Name *
Your answer
Parent/Guardian's Email *
We will use this email to communicate important information about our program. Please provide an accurate email address that you check frequently so that you receive the essential information that is shared throughout the season.
Your answer
Alternate Parent/Guardian's Email
OPTIONAL: Fill this out ONLY if you wish to submit a second email address.
Your answer
Parent/Guardian's Cellphone *
Please provide a number that we can use if you need to be reached during an emergency.
Your answer
Secondary Parent/Guardian's Cellphone
If you wish to provide an alternative number, you may do so here.
Your answer
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy