CHARMS Import Survey
SKPS Student ID
Your answer
Student First Name
Your answer
Student Middle Name
Your answer
Student Last Name
Your answer
Music Programs you/your student participate in at South
Required
Student Grade for 2015-2016 School Year
Month of Student Birthday
Date of Student Birthday
Year of Student Birth
Sex
Home Address
No City, State, or Zipcode
Your answer
City of Residence
Your answer
State of residence
Zip code of residence
Your answer
Home Phone #
No spaces, dashes, or ( )
Your answer
Student Cell Phone #
No spaces, dashes, or ( )
Your answer
Student Email Address
Your answer
Student T-Shirt Size
Non-gender specific sizes
Adult #1 First Name
Your answer
Adult #1 Last Name
Your answer
Adult #1 relation to Student
Adult #1 Home Address
No City, State, or Zipcode
Your answer
Adult #1 City of Residence
Your answer
Adult #1 State of residence
Adult #1 Zip code of residence
Your answer
Adult #1 Work Phone
No spaces, dashes, or ( )
Your answer
Adult #1 Home Phone #
No spaces, dashes, or ( )
Your answer
Adult #1 Cell Phone #
No spaces, dashes, or ( )
Your answer
Adult #1 Email Address
Your answer
Adult #1 Occupation
Your answer
Adult #2 First Name
Your answer
Adult #2 relation to Student
Adult #2 Last Name
Your answer
Adult #2 Home Address
No City, State or Zipcode
Your answer
Adult #2 City of Residence
Your answer
Adult #2 State of Residence
Adult #2 Zipcode
Your answer
Adult #2 Work Phone
No spaces, dashes, or ( )
Your answer
Adult #2 Home Phone
No spaces, dashes, or ( )
Your answer
Adult #2 Cell Phone
No spaces, dashes, or ( )
Your answer
Adult #2 Email Address
Your answer
Adult #2 Occupation
Your answer
Adult #3 First Name
Your answer
Adult #3 Last Name
Your answer
Adult #3 Home Address
No City, State, or Zipcode
Your answer
Adult #3 City of Residence
Your answer
Adult #3 State of Residence
Adult #3 Zipcode
Your answer
Adult #3 Work Phone
No spaces, dashes, or ( )
Your answer
Adult #3 Home Phone
No spaces, dashes, or ( )
Your answer
Adult #3 Cell Phone
No spaces, dashes, or ( )
Your answer
Adult #3 Email Address
Your answer
Adult #3 Occupation
Your answer
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