SBRHS Music Department 2019-2020 Student Contact Information Form for All Performing Musicians
PLEASE FILL OUT ALL OF THE FOLLOWING INFORMATION
Email *
Student (Last) Name *
Student (First) Name *
Year of Graduation *
Student School Email Address *
Music Ensembles Enrolled (or interested) in for 2019-2020 *
Required
Parent / Guardian #1 Name *
Parent / Guardian #2 Name
Street Address *
City *
Zip Code *
Home Phone Number (format as ###-###-####) *
Parent / Guardian #1 Cell Phone Number (format as ###-###-####) *
Parent / Guardian #2 Cell Phone Number (format as ###-###-####)
Parent / Guardian #1 Email Address *
Parent / Guardian #2 Email Address
May we share your contact information with the Somerset Friends of Music *
May we use your child's likeness on the Music Department Website, Social Media Pages, BAND App, etc. *
Parent / Guardians - Please list any activities that you might be interested in helping with for the Music Department (i.e. Concerts, supervising students at different events, helping out with the Somerset Friends of Music functions such as Musictown Festival, serving on the Somerset Friends of Music Executive Board, working on fundraisers, assisting with extra-curricular music ensemble events, etc.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Somerset Berkley Regional High School. Report Abuse