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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