Student Information
Please complete survey fully ~ you will have the opportunity to edit answers after you submit form. Trying to go back in the middle of survey will cause all previous answers to be deleted.
Last name
Your answer
First name
Your answer
Middle Name
Your answer
Preferred Name
Your answer
Graduation date
Student ID#
Your answer
Gender
Student's Gender Identity is:
Birthdate
Your answer
Street Address
Your answer
City
Your answer
Zip Code
Your answer
Student email
Please be sure to enter this correctly, as we will use this email to communicate with the student throughout the year
Your answer
Student phone number
Your answer
Home Phone Number
If you have a land line
Your answer
Band
Required
Instrument
Marching Band Instrument
Jazz Band Instrument
Concert Uniform
Height
(e.g., 5 feet 6 inches)
Your answer
Weight
(Pounds)
Your answer
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