Parent Contact Survey 2019/2020
Please provide the following information to ensure you always know what is going on with your student's musical career!
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Student Information
Student's Name (LAST, FIRST) *
Student's/Primary Guardian Home Address *
Student's Band: *
Select one. Percussionist may select 2
Required
Guardian Information
Primary Guardian Name: (LAST, FIRST) *
Primary Guardian Language of Choice: *
Primary Guardian Email: *
PLEASE provide an email you use. If you do not read the emails sent home regarding homework, date changes, and events I cannot be held accountable for your student's absence! I will also use this email to register you for Google Classroom.
Primary Guardian Phone Number: ### - ### - #### *
PLEASE provide a phone number that can be used to contact you!
Secondary Parent/Guardian Information (Optional)
Secondary Guardian Name: (LAST, FIRST)
OPTIONAL
Secondary Guardian Language of Choice:
Optional
Clear selection
Secondary Guardian Email:
Optional
Secondary Guardian Phone Number: ### - ### - #### *
Optional
Submit
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