Redondo Union High School

Student Info

*Student First Name: *Student Last Name: *Student ID:

If you do not have an RUHS student ID please type "NA"

*Student Year: Select Year Middle School Student Freshman Sophmore Junior Senior Instrument Section: Select Section Battery Front Ensemble Not Assigned Yet Prior Music Experience: Middle School Attended:

Parent / Guardian #1 Info

*Parent / Guardian 1 First Name: *Parent / Guardian 1 Last Name: *Parent / Guardian 1 Phone: *Parent / Guardian 1 Email:

Parent / Guardian #2 Info

Parent / Guardian 2 First Name: Parent / Guardian 2 Last Name: Parent / Guardian 2 Phone: Parent / Guardian 2 Email:

Emergency Contact #1 Info

*Emergency Contact First Name: *Emergency Contact Last Name: *Emergency Contact Phone:

Emergency Contact #2 Info

Emergency Contact First Name: Emergency Contact Last Name: Emergency Contact Phone: