Soddy Daisy HS Band Student Information Form
This form is used for Band Office Student Information and Parent Contact Information
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Student First Name *
Student Middle Name
Student Last Name *
Grade *
Birthdate Month *
Birthdate Day *
Birthdate Year (XXXX) *
Gender *
Instrument *
Mailing Address *
Street Number, Street Name
City *
Zip Code *
Primary Contact Number *
Please enter with no parenthesis or dashes
Student Mobile Number *
Please enter with no parentheses or dashes
Email Address *
This will be the email address that you use for all band based communications including newsletters, financial statements, and notifications
Preferred Method of Communication
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Father's First Name
Father's Last Name
Father's Mobile Phone
Please enter with no parentheses or dashes
Mother's First Name
Mother's Last Name
Mother's Mobile Phone
Please enter with no parentheses or dashes
Emergency Contact (Last Name, First Name)
Emergency Contact Phone
Please enter with no parentheses or dashes
T-shirt Size *
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