Color/Winter Guard Member Profile - 2023/24

This info is kept on hand during all rehearsals and performances in case of an emergency.

You will receive a copy of your submitted form via email.

Student (Member) Info
Name Name First Last
Legal Name
Preferred Name

Nickname or other
Pronouns (if any)
Date of Birth Date of Birth / MM / DD YYYY
Student's Email

Use district email.
Student's Phone Student's Phone - ### - ### ####

If student doesn't have one, you may leave it blank.
High School Affiliation

High School Affiliation OHHS HomeConnection Other Other
Grade (in Fall 2023)

Grade (in Fall 2023) 9 10 11 12
Health & Allergy Info
Health Issues: Please list any health issues below so we may be cautious and respond swiftly when they are in need of assistance.
Allergies: Please list them below. Also include any details/info you feel we should know in reference to their care.
Parent/Legal Guardian Info
Name Name First Last
Parent/Legal Guardian Email

You will receive a copy of your submitted form to this email address.
Primary Phone Primary Phone - ### - ### ####
Secondary Phone Secondary Phone - ### - ### ####
Contact Preference

Contact Preference Phone Email

Please note that for emergencies, you will always be called. Although the BAND App is our primary communication source for general info, you may be called/emailed by instructors/band director.
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Emergency Contact
Name Name First Last
Relationship to Parent/Guardian of Student
Phone Phone - ### - ### ####
Secondary Phone Secondary Phone - ### - ### ####
Any other pertinent info we should know about:
THANK YOU!

Thank you completing this form. If you have any questions, please contact Renee Giugliano (Mrs. G.).

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Color/Winter Guard Member Profile - 2023/24

Color/Winter Guard Member Profile - 2023/24

Student (Member) Info

Health & Allergy Info

Parent/Legal Guardian Info

Emergency Contact

THANK YOU!