Name of the parent/guardian you are referring to Harmony. *
* This name should match the application in order to receive the free shirt.
Your answer
Phone # of the parent/guardian you are referring *
*We may use this phone # to contact your referral to share more information about our school.
Your answer
The email address of the parent/guardian you are referring *
*We may use this email to contact your referral to share more information about our school.
Your answer
2021-2022 Grade Level(s) for each student in the family. *
Required
If there are multiple children in the same grade level, add them here.
Your answer
Choose a t-shirt size. You get one shirt for each student in the family for whom an application is made. To refer an additional family, fill out another form.
Choose
YOUTH EXTRA SMALL
YOUTH SMALL
YOUTH MEDIUM
YOUTH LARGE
ADULT SMALL
ADULT MEDIUM
ADULT LARGE
ADULT XL
ADULT XXL
ADULT XXXL
If you are requesting more than one shirt of the same size, please write it here.
Your answer
Additional comments
Your answer
A copy of your responses will be emailed to the address you provided.