Holly Shelter Band Information Form
Please fill out the information below for your band student. If you have any questions, feel free to email me at amy.sandlin@nhcs.net.
Student First Name *
Your answer
Student Last Name *
Your answer
Grade *
Instrument (only for 7th and 8th Grade) *
Home Phone *
Please use format xxx-xxx-xxxx. Enter "none" if you don't have a landline.
Your answer
Student Cell Phone *
Please use format xxx-xxx-xxxx. Enter "none" if student doesn't have a cell phone.
Your answer
Student Email Address *
Please type the entire email address and not just a "screen name".
Your answer
Parent #1 Name *
Please list the first parent you would like me to contact if needed.
Your answer
Parent #1 Cell Phone *
Please use format xxx-xxx-xxxx. Please list the cell phone number of the main contact listed above.
Your answer
Parent #1 Email Address *
Please list your email address
Your answer
Parent #2 Name *
Please list the secondary contact name.
Your answer
Parent #2 Cell Phone *
Please use format xxx-xxx-xxxx. Please list the cell phone number of the secondary contact listed above.
Your answer
Parent #2 Email Address *
Please list a secondary email address.
Your answer
"Remind" App Signup *
Please check the box below if you give permission for me to add your phone number to the "Remind" app. I will be able to send you text messages about important events (concerts, etc - I PROMISE I won't blow your phone up all year!) and you will be able to text me also!
Required
Emergency Contact Name (if Guardians can't be reached) *
Your answer
Emergency Contact Number (if Guardians can't be reached) *
Your answer
Please list any medical conditions or medications I should be aware of. *
Enter "none" if there are no medical conditions or medications.
Your answer
Band Contract *
By choosing the checkbox below, you are affirming that you and your child have read the Band Handbook, understand all the policies and procedures, and agree to uphold them
Submit
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