Belleville West Marching Maroons Information
2025 - 2026 School Year
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Notice: This form must be filled out by a legal guardian of the student, and the signature at the end of the form denotes who is legally responsible for the information obtained.
Thank you for taking the time to complete this form. Your time now will help us immensely in serving your child in band.
GENERAL INFORMATION
Student Name *
Student Birth Date *
MM
/
DD
/
YYYY
Student Cell Phone Number *
Grade in School Next Year *
Middle School/Junior High Attended *
Primary Instrument Played *
Does student have Jazz Experience *
Does Student Require a School Instrument *
Home Address *
Home Phone Number *
Legal Guardian #1's Name *
Legal Guardian #1's Cell Phone Number *
Legal Guardian #1's Email Address *
Legal Guardian #1's Employer *
Legal Guardian #1's Work Phone Number *
Legal Guardian #2's Name
Legal Guardian #2's Cell Phone Number
Legal Guardian #2's Email Address
Legal Guardian #2's Employer
Legal Guardian #2's Work Phone Number
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