Music Student Information Form

LINCOLN-WAY CENTRAL MUSIC DEPARTMENT

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Music Student information forM

Complete the form below, then press the red "Submit" button.
The "asterisk" symbol means that part of the form must be completed.

New Members: This form gives us the information we need to enter you into our Music Department "Charms" system.
Returning Members: This form allows us to update your contact information.

* Indicates required field

LWC STUDENT ID# *

Parent's Names *

Student First Name *

Parent E-mail Address *

Student Last Name *

Home Phone Number *

Gender *

Male Female

Grade (NEXT Year) *

Parent Cell Phone *

Student Cell Phone (For Classroom Group Texting ONLY) *

Parent Work Phone *

Student E-Mail Address *

Home Street Address *

Instrument *

Town *

Zip Code *

Secondary Instrument? *

2018 Lincoln-Way Marching Band *

Yes No Unknown

Marching Instrument *

Other Music Department Interests *

Choir Class Orchestra Jazz Band Madrigals Vocal Jazz/Extracurricular Choir Spring Musical Pep Band None

Submit

Lincoln-Way Central High School
Music Department
1801 E. Lincoln Hwy.
New Lenox, Illinois 60451
(815) 462-2301

Home
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Extracurricular
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