Registration

First Name

Last Name

Email

Phone Number

Address

State

City

Zip

Parent 2-First Name

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Parent 2-Last Name

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Parent 2-Email

Parent 2-Phone

Student 1-Name

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Student 1-Grade

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Student 1-Instrument

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Student 1-Allergies or Restrictions

Student 1-My child is:

Vegetarian (will eat animal products, but not meat)

Vegan (no animal products)

Gluten Free (Celiac)

Gluten Free (Sensitivity/Intolerant)

Nut Allergy (will specify below)

Lactose (Allergy/Intolerant)

Other (list below any food allergies not listed)

Food restrictions due to religious beliefs for specific days of the week or specific holidays will need to be specified below.

Student 1-My child's allergies have the potential to be life threatening.

Yes

No

Child must carry an epi pen in case of emergency

Student 1-Specify nut types and other allergies or restrictions not listed above

Character limit (100) reached

Student 1-Please list food restrictions due to religious beliefs for specific days of the week or holidays.

Character limit (50) reached

Student 2-Name

Character limit (50) reached

Student 2-Grade

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Student 2-Instrument

Character limit (50) reached

Student 2-Allergies or Restrictions

Student 2-My Child is:

Vegetarian (will eat animal products, but not meat)

Vegan (no animal products)

Gluten Free (Celiac)

Gluten Free (Sensitivity/Intolerant)

Nut Allergy (will specify below)

Lactose (Allergy/Intolerant)

Other (list below any food allergies not listed)

Food restrictions due to religious beliefs for specific days of the week or specific holidays will need to be specified below.

Student 2-My child's allergies have the potential to be life threatening.

Yes

No

Child must carry an epi pen in case of emergency

Student 2-Specify nut types and other allergies or restrictions not listed above

Character limit (100) reached

Student 2- Please list food restrictions due to religious beliefs for specific days of the week or holidays.

Character limit (50) reached

Student 3-Name

Character limit (50) reached

Student 3-Grade

Character limit (50) reached

Student 3-Allergies or Restrictions

Student 3-Instrument

Character limit (50) reached

Student 3-My child is:

Vegetarian (will eat animal products, but not meat)

Vegan (no animal products)

Gluten Free (Celiac)

Gluten Free (Sensitivity/Intolerant)

Nut Allergy (will specify below)

Lactose (Allergy/Intolerant)

Other (list below any food allergies not listed)

Food restrictions due to religious beliefs for specific days of the week or specific holidays will need to be specified below.

Student 3-My child's allergies have the potential to be life threatening.

Yes

No

Child must carry an epi pen in case of emergency

Student 3-Specify nut types and other allergies or restrictions not listed above

Character limit (50) reached

Student 3-Please list food restrictions due to religious beliefs for specific days of the week or holidays.

Character limit (50) reached

Would you or your company be interested in becoming a band sponsor? By responding we will reach out to you.

Which Sponsorship Level are you interested in?

If you are interested in an alternate option, what are you interested in?

Character limit (50) reached

Celina Band Boosters Association

Celina Band Boosters Association

Register For Celina Band Boosters Association

Parent

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