Park Vista Marching Band Registration 2021-2022
Welcome! Please fill out this form carefully and accurately. We look forward to having you in the band!
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What is your student's ID number? (Do not include the S in front of the number)
Attention new members: If your student is transferring from another Palm Beach District school, their Student Number will remain the same. If you are not sure, leave blank.
First Name *
Last Name *
Is this a new student for the Park Vista Marching Band?
Clear selection
Student Date of Birth *
MM
/
DD
/
YYYY
Sex *
What instrument / section of the band? *
Student Email *
Grade level for next year (2021-2022) *
School attended this year (2020-2021) *
Student Street Address *
Student City *
Student Zip Code *
Student Home Phone
Student Cell Phone *
Parent/Guardian #1 First Name *
Parent/Guardian #1 Last Name *
Parent 1 Relationship *
Parent/Guardian #1 Street Address (if same as Student type "same") *
Parent/Guardian #1 City (if same as Student type "same") *
Parent/Guardian #1 Zip (if same as Student type "same") *
Parent/Guardian #1 Home Phone
Parent/Guardian #1 Mobile Phone *
Parent/Guardian #1 Email Address *
Parent/Guardian #2 First Name
Parent/Guardian #2 Last Name
Parent/Guardian #2 Relationship
Parent/Guardian #2 Street Address (if same as Student type "same")
Parent/Guardian #2 City (if same as Student type "same")
Parent/Guardian #2 Zip (if same as Student type "same")
Parent/Guardian #2 Home Phone
Parent/Guardian #2 Mobile Phone
Parent/Guardian #2 Email Address
Choose which email addresses should receive band informational emails (check all that apply) *
Required
Parent Skills/Interests (please check all that apply) *
Required
Are any parents/guardians Employed by Palm Beach County School District? *
Required
Parent Licenses/Certifications (check all that apply) *
Required
Student T Shirt Size *
Shoe type *
Shoe Size (No half sizes, please round up) *
Does Student take private lessons? *
If yes, with whom and for how long?
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