Hutch Band 2016-2017 Information Page
Please complete the following information. Section 1 is the student's information. Section 2 is the student's parent/guardian information. Section 3 is the student's second parent/guardian information. Section 3 may also be used as an emergency contact with the email address left blank.
Section 1 - Student Info
Name (first and last) *
Student ID *
Birthdate
MM
/
DD
/
YYYY
Phone number *
Please enter as "xxx-xxx-xxxx".
Gender *
Grade *
Instrument *
Class period(s) *
Required
Shirt Size *
*If larger shirt size is required, please select "other". Youth large (YL) is the SMALLEST shirt size we will have available.
Section 2 - Adult 1 Info
Name (first and last) *
Relation *
Home/Cell phone number *
Please enter as "xxx-xxx-xxxx".
Work phone number
Please enter as "xxx-xxx-xxxx".
Email address *
If no email, please enter "none@none.com"
Are you interested in being a band chaperone? *
Section 3 - Adult 2 info
*If no 2nd parent/guardian exists, please enter an emergency contact.
Name (first and last) *
Relation *
Home/Cell phone number *
Please enter as "xxx-xxx-xxxx".
Work phone number
Please enter as "xxx-xxx-xxxx".
Email address *
If no email (or emergency contact), please enter "none@none.com"
Are you interested in being a band chaperone? *
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