PHSN Band Acknowledgement Form
2020-2021
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Due: September 9th, 2020
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This form must be filled out by the PHSN Band Student & their Parent/Guardian.
Email address *
Student First Name *
Student Last Name *
Student Signature *
By signing electronically here (PLEASE TYPE FIRST & LAST NAME), you acknowledge you are the undersigned, and you have received, read, agree to, and will follow-through with the acknowledgements listed in the above image "PHSH Band Acknowledgement Form" and any documents and their requirements referenced there-in.
Date *
MM
/
DD
/
YYYY
Parent/Guardian First Name *
Parent/Guardian Last Name *
Parent/Guardian Signature *
By signing electronically here (PLEASE TYPE FIRST & LAST NAME), you acknowledge you are the undersigned, and you have received, read, agree to, and will follow-through with the acknowledgements listed in the above image "PHSH Band Acknowledgement Form" and any documents and their requirements referenced there-in.
Date *
MM
/
DD
/
YYYY
A copy of your responses will be emailed to the address you provided.
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