Band Member Info
**ATTENTION: if you open this link and it opens to the "Edit" version of the form (shown below), please do not input any answers and reach out to Ms. Picinich via email (tenisha.picinich@polk-fl.net) to get sent the correct link. Thank you!

Please fill this out for us to be able to get immediately connected! If you have any questions or concerns, please don't hesitate to ask Ms. Picinich.
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Student Name *
Student Grade *
Student Birthday *
MM
/
DD
/
YYYY
Student Email (abc@mypolkschools.net) *
Student Instrument (for returning members only)
Student Shirt Size *
Student Pant Size *
Student Shoe Size *
Parent/Guardian #1 Name *
Parent/Guardian #1 Email *
Parent/Guardian #1 Phone Number *
Parent/Guardian #2 Name
Parent #Guardian #2 Email
Parent/Guardian #2 Phone Number
Stay Connected with the BAND App! *
Students and parents, please join ALL ensembles your student will be a part of this year! This will be the primary means of communication for JMA Band. You may also access the ensembles via this link: https://band.us/nc/b6o4Edcd92vcJ.
Required
Thank You!
Thank you for completing this form! I look forward to meeting and getting to know each of you this 2021-22 school year! See you Tuesday August 10th. Go Champions!!
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