Contact Information
Information you submit is shared with Christine Gero, Orchestra Director, and Daniel Chang, Orchestra Boosters President only. If you would prefer to email your contact information, send a message to < rooseveltorchestra@gmail.com >.
Sign in to Google to save your progress. Learn more
Student (Legal) First Name *
Student (Preferred) First Name *
Student Last Name *
Student Pronouns *
Student Personal Email *
Student SPS Email *
Student Phone Number *
Student Address
T-Shirt Size, See: Size Chart *
Orchestra Ensemble *
Check all music ensembles you participate in at RHS. *
Required
Graduation Year *
Primary Instrument *
Additional Instruments
Please share information with the orchestra board that would help volunteers and chaperones make your experience better. (optional)
Orchestra retreat cabin assignments will be based on your grade level and your "gender consistently expressed at school” (SPS terms). What is your gender consistently expressed at school? *
Dietary Restrictions / Allergies (Check All That Apply)
Parent/Guardian #1 First Name *
Parent/Guardian #1 Last Name *
Parent/Guardian #1 Email *
Parent/Guardian #1 Phone Number *
Parent/Guardian #2 First Name
Parent/Guardian #2 Last Name
Parent/Guardian #2 Email
Parent/Guardian #2 Phone Number
Parent/Guardian #3 First Name
Parent/Guardian #3 Last Name
Parent/Guardian #3 Email
Parent/Guardian #3 Phone Number
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms