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 2018-2019 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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