Student Information & Course Expectations Acknowledgement
Frank W. Cox High School | 2018-2019 | Orchestra | Mr. Fields

By completing the form below, we indicate that we have read the Cox High School Orchestra Course Expectations. We understand that we will be responsible for its contents and will adhere to the orchestra’s policies and procedures. We will refer to the course expectations when questions arise as to rules and regulations that apply to the organization.

You can reference the course expectations document at the following link: http://www.coxorchestra.com/course-expectations.html

Note: Only one parent/guardian contact information is required for this form even though there are two sections listed for the parent/guardian contact information. The person listed as Contact #1 will be the main point of contact for Mr. Fields when contacting a student's family. This is the parent/guardian that will electronically sign at the end of the form.

Student Full Name *
Your answer
Student Email *
Your answer
Student Birthday *
MM
/
DD
/
YYYY
Student Grade Level *
Student's Instrument *
Which orchestra class are you enrolled in? *
Required
Anything you want Mr. Fields to know about you (excitement, concerns, questions, etc.)?
Your answer
Do you participate in any after school clubs, activities, or sports?
Your answer
Parent/Guardian Contact #1 *
Your answer
Parent/Guardian Contact #1 - Relationship to Student *
Your answer
Parent/Guardian Contact #1 - Email *
Your answer
Parent/Guardian Contact #1 - Cell Phone *
Your answer
Parent/Guardian Contact #1 - Work Phone *
Your answer
Parent/Guardian Contact #2
Your answer
Parent/Guardian Contact #2 - Relationship to Student
Your answer
Parent/Guardian Contact #2 - Email
Your answer
Parent/Guardian Contact #2 - Cell Phone
Your answer
Parent/Guardian Contact #2 - Work Phone
Your answer
Student Electronic Signature *
Your answer
Parent/Guardian #1 Electronic Signature *
Your answer
Submit
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