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Student Information Form

This student information form collects a student's personal details such as name, date of birth, school, and contact information for parents. It also asks the student to indicate which cello materials they currently own or need to order, such as a notebook, binder, rosin, or CDs. By signing, the student and parent agree to the policies in the cello studio handbook.

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api-143644957
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© Attribution Non-Commercial (BY-NC)
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Download as DOCX, PDF, TXT or read online on Scribd
48 views

Student Information Form

This student information form collects a student's personal details such as name, date of birth, school, and contact information for parents. It also asks the student to indicate which cello materials they currently own or need to order, such as a notebook, binder, rosin, or CDs. By signing, the student and parent agree to the policies in the cello studio handbook.

Uploaded by

api-143644957
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Student Information Form

Please fill out and return at your next lesson.

Students Name: ________________________________________________________


Date of Birth: ___________________________________________________________
School & Grade: ________________________________________________________
Parent(s) Name(s): _____________________________________________________
Address(es): ___________________________________________________________
______________________________________________________________________
Preferred Phone: _______________________________________________________
Alternate Phone (in case of emergency): _____________________________________
E-mail: ________________________________________________________________

Required Materials: Please check the appropriate boxes below.

Materials
Notebook
Three-ring Binder
Rosin
Metronome/Tuner
Music Stand
Cello Chair/Stool
Rockstop
Suzuki CD

Currently
Own

Please Order
for Me

I Will
Purchase

Please sign below stating that you have read and agree to the policies as stated in the
Cello Studio Policies, and have received a copy for your records.

Student Signature: _____________________________________ Date: ____________

Parent Signature: ______________________________________ Date: ____________

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