2018-19 Band Registration Form
Student Name (Last, First) *
Your answer
Parent Name (First - Last) *
Your answer
Parent Name (2)
Your answer
Street Address *
Your answer
Zip Code *
Your answer
Home Phone
Your answer
Home Phone (2)
Your answer
Work Phone
Your answer
Work Phone (2)
Your answer
Cell Phone
Your answer
Cell Phone (2)
Your answer
Do you want to receive class information, dates and reminders via REMIND101 text messages?
Please list any and all cell phone numbers you want to receive information texts.
Your answer
Email Address *
Your answer
Email Address (2)
Your answer
Primary contact adult *
Your answer
Primary Form of Contact Option *
Are you able to volunteer? *
If yes, what is your volunteer status?
Can you describe the capacity in which you can volunteer?
e.g., transportation or hauling, supervision, fundraising, days, nights, weekends
Your answer
What high school are you zoned for? *
Your answer
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This form was created inside of Kennedy Middle School.