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Chorus Information Form
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* Indicates required question
Email
*
Your email
Student Name (First, Last)
*
Your answer
Do you go by a nickname?
*
Your answer
Grade
*
Choose
9th
10th
11th
12th
Student email
*
Your answer
Student Cell Phone number
*
Your answer
Mailing address (Street, City, Zip)
*
Your answer
Date of Birth (dd/mm/yyyy)
*
Your answer
Father's Name (First, Last)
*
Your answer
Father's Home/Cell Phone Number
*
Your answer
Father's Email
*
Your answer
Mother's Name (First, Last)
*
Your answer
Mother's Work/ Cell Phone Number
*
Your answer
Mother's Email
*
Your answer
Guardian's Name (First, Last)
Your answer
Guardian's Work/Cell Phone Number
Your answer
Guardian's Email
Your answer
Do you have access to a computer at home?
*
Yes
No
Do you bring a cell phone to school every day?
*
Yes
No
Do you have any allergies or health issues that I need to know about?
Your answer
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