EmailMe Form - Life Teen Band

Date Time

MM / DD / YYYY

Student Name *

First Last

Student Email

Parent Name *

First Last

Parent Email *

Musical Talent

Musical Ability

Beginner

Intermediate

Advanced

If you are an instrumentalist, do you have your own instrument?

Yes

No

I give the All Saints Life Teen Band Director, Scott Earley, permission to contact my child. I understand that I will be copied on all correspondence.

Yes

No

Parent Signature

Clear

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