EmailMe Form - 2021-2022 CHS Band Info Sheet

Student Name *

First MI Last

Activity *

Concert Band

Marching Band

Jazz Band

Check all that apply for 2019-2020

Parent/Guardian Name(s) *

Parent/Guardian Description *

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code

Student Phone *

### - ### - ####

Please enter the number at which you can be reached most often.

Student Phone Description *

Parent/Guardian Phone Number *

### - ### - ####

Parent/Guardian Phone Description *

Additional Parent/Guardian Phone Number

### - ### - ####

Additional Parent/Guardian Phone Description

Parent/Guardian Email

Confirm

Student Email

Confirm

T-Shirt Size *

Allergies *

Please list any allergies (food, medical, etc) that your child might have. If none, please type NONE.

Special Dietary Needs *

Please list any diet concerns or food allergies that would be of concern when providing meals to students on trips. For example, your child may be a vegetarian. If none, please type NONE.