DHS Band Complete Registration Form
Registration / Medical / Band Booster form
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Email *
Last Name *
First Name *
Birthdate *
MM
/
DD
/
YYYY
Student ID number *
Home Phone Number *
Student Cell phone Number *
Grade entering *
Graduating Class of 20?? *
Instrument/Section *
Address *
City *
State *
Zip *
Are you on a special diet? *
If special diet / other - please describe *
Adult T-Shirt Size *
Adult Shorts Size *
Parent / Guardian 1 Name: (First and Last) *
Parent / Guardian 1 place of employment- *
Preferred Language *
Parent / Guardian 1 Contact Number(s) *
Parent / Guardian 1 email address *
Parent / Guardian 2 Name *
Preferred Language *
Parent / Guardian 2 Place of employment - *
Parent / Guardian 2 Contact Number(s) Parent / Guardian 2 email address *
Siblings in Band - If any *
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