2017 Central Hardin Marching Band Sign Up
Student information for 2017 CHHS Marching Band
Student School ID (entire number - not just the portion used for lunch)
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First Name
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Middle Name
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Last Name
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Grade
Birthdate MONTH (Give a number for the month - for example, for January put 1, for Feb put 2) Don't write out the month name
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Birthdate DAY
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Birthdate YEAR (give 4 digits, Ex: 2002)
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Gender
Part 1 (Leave this question blank - skip this)
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Part 2 (Leave this question blank)
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Address (# and Street)
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City
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State
Zip Code
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Home Phone
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Student Cell Phone
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Student Email
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Instrument
Field 2 (leave blank)
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Field 3 (leave blank)
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Field 4 (leave blank)
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Leave Blank
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Mother's First Name
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Mother's Last Name
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Mother's Address (# and Street)
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Mother's City
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Mother's State (abbreviate state)
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Mother's Zip code
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Mother's Work Phone #
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Mother's Home Phone #
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Mother's Cell Phone #
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Mother's Email
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Mother's Occupation
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Leave this one Blank
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Father's First name
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Father's Last Name
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Father's Street Address (# and Street name only)
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Father's City
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Father's State (abbreviation for state)
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Father's Zip code
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Father's Work Phone #
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Father's Home Phone #
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Father's Cell Phone #
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Father's Email
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Father's Occupation
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Band Class
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