Lovinggood 6th Grade Band Student Information Form

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Student First Name *

Student Middle Name *

Please type none if your student does not have a middle name

Student Last Name *

Current Elementary School *

Street Address *

Please enter the address where you would like to receive communications from us in regard to your student.

City *

Zip Code *

Home Phone *

Please type "None" if you do not have a home phone number

Student Cell Phone Number *

Please type "none" if you do not have a cell phone

Student Email *

Please type "None" if the student does not have an email address

Guardian 1- First Name *

Guardian 1- Last Name *

Guardian 1 -Relationship to the student *

Guardian 1- Cell Phone Number *

Please type "None" if you do not have a cell phone number

Guardian 1- Work Phone Number *

Please type "None" if you do not have a work phone number

Guardian 1- Email Address *

Please type "none" if you do not have an email address

Guardian 2- First Name *

Please type "none" if there is no second guardian for the child

Guardian 2-Last Name *

Please type "none" if there is no second guardian for the child

Guardian 2- Relationship to student *

Please type "none" if there is no second guardian for the child

Guardian Cell Phone Number *

Please type "none" if you do not have a cell phone number or there is no second guardian for the child

Guardian 2- Work Phone Number *

Please type "none" if you do not have a work phone number or there is no second guardian for the child

Guardian 2 Email *

Please type "none" if you do not have an email address or there is no second guardian for the child

Student ID Number *

Same as their lunch ID or Computer ID in Elementary School

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