2021 CMB Member Info
First Name *
Middle Name *
Last Name *
Name you like to be called *
Marching Instrument *
Concert Instrument
Only needed if different than marching instrument
School Email Address *
This will be the address we use as your primary address during the school year.
Other Email Address *
Cell Phone *
xxx-xxx-xxxx
Verify Cell Phone *
xxx-xxx-xxxx
Year in School *
Year in CMB *
Have you Declared a Major yet? *
List Major(s) *
If you have not declared, list intended major
School *
Previous College(s)
Only if applicable
High School *
High School Band Director *
Mobile Service Provider *
List your cell phone service provider if enrolling in moble alerts (i.e. Verizon)
Birthdate *
mm/dd/yyyy
Home Street Address *
Home City *
Home State *
Home Zip Code *
Hometown (Used for Programs) *
Emergency Contact Name *
Emergency Contact Relation *
Emergency Contact Phone *
xxx-xxx-xxxx
Guardian #1 Name
Guardian #1 Cell
xxx-xxx-xxxx
Guardian #1 Email Address
Guardian #2 Name
Guardian #2 Cell
xxx-xxx-xxxx
Guardian #2 Email Address
Medical Allergies *
If you have no allgeries to report, write "N/A."
Medications *
This information is for medical emergency purposes only. If none write "N/A."
Food Allergies *
If you have no allgeries to report, write "N/A."
Glove Size *
T-Shirt Size *
Shorts Size *
Sweatshirt Size *
Sweatpants Size *
Are you living on Grounds or Off-Grounds? *
On Grounds Students - What residence hall are you living in (if unknown write N/A)?
On Grounds Students - What is your Room Number (if unknown write N/A)?
Food preferances *
Required
Thank you for submitting! Go Hoos!
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