JHS Band Contact Information Form
Please fill in all information to the best of your ability. The first section of the form is for information about the STUDENT only. Fields with an asterisk are REQUIRED.
STUDENT'S INFORMATION
Student Name *
Given Name (Preferred First Name in parentheses) Last Name
Your answer
Student Number *
This is the 8 digit Palm Beach County School District ID. Enter 0 if you are new to Palm Beach County public schools and have not been assigned a student number.
Your answer
Current Grade (in 2018-2019) *
Gender *
Instrument(s) *
Required
Student Birthdate *
MM
/
DD
/
YYYY
Student Street Address *
(House number, Street, Apt #)
Your answer
Student City/Zip Code *
Your answer
Housing Development Name
Example: Jupiter Farms, The Shores, Egret Landing, etc.
Your answer
Student Home Phone
This is NOT a student or parent cell phone but a HOME phone number; leave BLANK if you do not have a home number
Your answer
Student Cell Phone
This is NOT a parent cell phone but a STUDENT cell phone number; leave BLANK if student does not have a cell phone
Your answer
Student Email Address
Our #1 method of communication is EMAIL! You should check your email often.
Your answer
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