2011-12 Music Boosters Contact Survey

Please input the following information, to assist Mr. Haigh, Mrs. Hughes, Mrs. Sackett, and the Music Boosters with contact.


A red asterisk (*) indicates required questions.

  1. I have an email address.
    Yes
    No


  1. My email address (for Booster use) is...


  1. I check my email on a regular basis.
    On my smartphone
    At work
    1 time per day
    1 time every other day
    1 time per week
    Seldom or very rarely
    I prefer text


  1. Parent/Volunteer FIRST Name*


  1. Parent/Volunteer LAST Name*


  1. Home Phone (xxx-xxx-xxxx)


  1. I am offering my help for the following Music Booster Events. Please call me at the appropriate time to organize the event.
    Bluffton Street Fair Booth (Sept 20-24, 2011)
    Booster Officer (2012-13)
    Raider Classic (Singers Only)(January 7, 2012)
    Pizza 'n Pops (Bands Only)(Sat, January 14, 2012)
    Taco Salad Sales @ Boys BB Sectional (Choirs Only)(Feb 28-Mar 3)
    Spring Dinner (April 7, 2012)
    Showcase (Choirs)(Date to be Announced)
    Music Awards Night (Mon, April 23, 2012)


  1. Street Address*


  1. City*


  1. Zip Code*


  1. Children in Band (name and grade)


  1. Children in Choir (name and grade)


  1. I have kids in the following extra-curricular groups.
    Jazz Band
    Singers
    In Harmony
    Show Choir Band





Mr. Haigh
Southern Wells Elem. & Jr/Sr High School
PONETO, IN