The CHS Band Student Registration Form
The Cooper High School Band
Student Registration Form
2011-2012
Please Type or Print:
Grade: ________
Instrument: ___________________________
Student's Name:____________________________________________________
Mailing Address: ___________________________________________________
Student's Email Address (Required): ______________________________________________
Student's Cell Phone: _________________________________________________
Student's Home Phone: ________________________________________________
Current Private Lesson Teacher: _______________________________________
Parent/Guardian's Name(s): _______________________________________________
Parent/Guardian's Email Address: ________________________________________
Parent/Guardian's Cell Phone #1: ________________________________________
Parent/Guardian's Cell Phone #2: ________________________________________
(for each cell phone number, please indicate who the number belongs to)
