Student Profile Form

Please submit one form per student.

Student Legal Name

First Name

Last Name

Student Name (Preferred)

Student School ID

9-Digits

Student Grade

For 2023-2024 school year

Student School Email

@bentonvillek12.org

Student Phone Number

(###)

###

####

Primary Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Primary Parent Name

First Name

Last Name

Primary Parent Phone

(###)

###

####

Primary Parent Email

Secondary Parent Name

First Name

Last Name

Secondary Parent Phone

(###)

###

####

Secondary Parent Email

Marching Instrument/Role

Marching Instrument Ownership

Concert Ensemble

Concert Instrument

Food Allergies or restrictions

For band feeds

T-Shirt Size

For show shirt and practice shirt. Sizes listed are for adult sizes.

Is there anything else special we should know about your student?

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Gold Sponsors

Student Profile Form

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