Contact Information 2019-2020
Welcome Back! I am looking forward to another wonderful year of creating beautiful music! Please fill out all fields of this form so that I can have all the appropriate contact information needed to effectively communicate with you throughout the year. This form is due on Friday, August 23, 2019. Thank you!
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Student Name *
First and Last Name
Grade for 2019-2020 School Year *
Student Date of Birth *
MM
/
DD
/
YYYY
Student T-Shirt Size *
Shirt sizes will be ADULT-no youth sizes. Please consider what your child will be comfortable wearing and choose a size carefully. Shirt orders are based off of this count, and sizes may not be able to be switched out!
Parent Name(s) *
First and Last Name(s)
Parent Primary E-Mail Address *
Specify Mom, Dad, etc.
Parent Secondary E-Mail Address *
Specify Mom, Dad, etc.
Parent Cell Phone Number *
Please include area code and specify Mom, Dad, etc.
Parent Work Phone Number *
Please include area code and specify Mom, Dad, etc.
Parent Home Phone Number *
Please include area code.
I give permission for my child's photo to be taken in class or at performances throughout the year. I give Mrs. Dobyns permission to post these photos on our class website and/or on social media (no names will be displayed). *
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