| School District of Fort Atkinson Orchestra Boosters |
| Fort Atkinson High School 925 Lexington Blvd. Fort Atkinson, WI 53538 |
| www.geocities.com/orchestraboosters [email protected] |
| Orchestra Student Information Update 2002-2003 |
| School:____________________________ |
| Grade for 2001-2001:______________ |
| Homeroom:_______________________ |
| Birthdate:___________________________ |
| M/F:____________ |
| Instrument(s) Played:______________________________________ |
| Address:____________________________________________________________________________________ |
| #1 Name ___________________________________________________________________________________ |
| Siblings in Orchestra:_____________________________________________________________ ******************************************************************************************** |
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| ____________________________________________________________________________________ |
| Phone Number: ______________________________ |
| Parent/Guardian Information: (If parents have different addresses, please give both so we can send mailings to both.- Thanks!) E-mail address will be added to the Orchestra Boosters' address book only so it is easier to reach people quickly with information. These will not be shared!!! |
| Address:____________________________________________________________________________________ |
| ____________________________________________________________________________________ |
| Home Phone #: _____________________________ |
| Cell Phone #: _____________________________ |
| Pager #: _____________________________ |
| Work Phone #: _____________________________ |
| e-mail address: _____________________________________________________________________________ |
| ************************************************************************ |
| #2 Name ___________________________________________________________________________________ |
| Address:____________________________________________________________________________________ |
| ____________________________________________________________________________________ |
| Home Phone #: _____________________________ |
| Work Phone #: _____________________________ |
| Cell Phone #: _____________________________ |
| Pager #: _____________________________ |
| e-mail address: _____________________________________________________________________________ |
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| Please fill this form out and return to Mrs. Nielsen at the above address, in person during class, or place in her school mailbox at any one of the Fort Schools. |
| For further questions, ticket information, concert questions, etc., e-mail: |
|
| Student Name:__________________________________________ |