Charms Student Information Form
Student's Last Name *
Your answer
Student's Middle Name
Your answer
Student's First Name *
Your answer
Address *
Your answer
Address (Apt, Building etc.)
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Home Phone
Your answer
Cell Phone
Your answer
Student's Email
Your answer
Student's Band Groups (check all that apply) *
Required
Grade *
Sex
Height (example 5' 8")
Your answer
T-shirt Size (example Medium-Adult) *
Your answer
Birthday
MM
/
DD
/
YYYY
Instrument 1 *
Instrument 2
Instrument 3
Private Teacher
Your answer
Locker #
Your answer
Locker Combination
Your answer
Parent/Guardian/Other Contact - Relation *
Your answer
Parent/Guardian/Other Contact - Prefix (Mr. Ms. etc.)
Your answer
Parent/Guardian/Other Contact - First Name *
Your answer
Parent/Guardian/Other Contact - Last Name *
Your answer
Parent/Guardian/Other Contact - Address *
Your answer
Parent/Guardian/Other Contact - Address (cont.)
Your answer
Parent/Guardian/Other Contact - City *
Your answer
Parent/Guardian/Other Contact - State *
Your answer
Parent/Guardian/Other Contact - Zip *
Your answer
Parent/Guardian/Other Contact - Home Phone *
Your answer
Parent/Guardian/Other Contact - Work Phone
Your answer
Parent/Guardian/Other Contact - Cell Phone *
Your answer
Parent/Guardian/Other Contact - Email Address *
Your answer
Second Parent/Guardian/Other Contact - Relation
Your answer
Second Parent/Guardian/Other Contact - Prefix (Mr. Ms. etc.)
Your answer
Second Parent/Guardian/Other Contact - First Name
Your answer
Second Parent/Guardian/Other Contact - Last Name
Your answer
Second Parent/Guardian/Other Contact - Address
Your answer
Second Parent/Guardian/Other Contact - Address (cont.)
Your answer
Second Parent/Guardian/Other Contact - City
Your answer
Second Parent/Guardian/Other Contact - State
Your answer
Second Parent/Guardian/Other Contact - Zip
Your answer
Second Parent/Guardian/Other Contact - Home Phone
Your answer
Second Parent/Guardian/Other Contact - Work Phone
Your answer
Second Parent/Guardian/Other Contact - Cell Phone
Your answer
Second Parent/Guardian/Other Contact - Email Address
Your answer
Third Parent/Guardian/Other Contact - Relation
Your answer
Third Parent/Guardian/Other Contact - Prefix (Mr. Ms. etc.)
Your answer
Third Parent/Guardian/Other Contact - First Name
Your answer
Third Parent/Guardian/Other Contact - Last Name
Your answer
Third Parent/Guardian/Other Contact - Address
Your answer
Third Parent/Guardian/Other Contact - Address (cont.)
Your answer
Third Parent/Guardian/Other Contact - City
Your answer
Third Parent/Guardian/Other Contact - State
Your answer
Third Parent/Guardian/Other Contact - Zip
Your answer
Third Parent/Guardian/Other Contact - Home Phone
Your answer
Third Parent/Guardian/Other Contact - Work Phone
Your answer
Third Parent/Guardian/Other Contact - Cell Phone
Your answer
Third Parent/Guardian/Other Contact - Emal Address
Your answer
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