MVMB 2017 Registration
Registration form for participation in the Miamisburg Marching Band 2017 season
Student First Name *
Your answer
Student Last Name *
Your answer
2017-2018 Grade *
NOT your 2016-2017 grade!
Parent/Guardian Name Last, First *
ex: Osbourne, Ozzy & Sharon
Your answer
Street Address *
ex: 156 Elm St
Your answer
City *
ex: Miamisburg
Your answer
Zip *
ex: 90210
Your answer
Primary Phone Number (Must Be Parent/Guardian) *
ex: 937-867-5309
Your answer
Secondary Phone Number
ex: 937-867-5309
Your answer
Other Phone Number
ex: 937-867-5309
Your answer
Primary Email (Must Be Parent/Guardian) *
This is the email address in which electronic invoices will be sent (ex: bgates@microsoft.com)
Your answer
Secondary Email
Your answer
Other Email
Please separate all additional email addresses with a common. Please include both parents and all work emails, etc.
Your answer
Student Adult T-shirt Size *
Gender *
Shoe Size
Only if ordering shoes (all new members need shoes)
Your answer
Please List Any Special Health/Dietary Concerns
Your answer
Marching Band Instrument *
How would you like to pay your $100 deposit? *
Depost payable towards your band fees.
By clicking "Yes" below, I enroll in the 2017 Miamisburg Viking Marching Band. I agree to abide by the policies and calendar set forth in the Member Handbook and 2017 Calendar, available online in the Documents tab at www.miamisburgbands.com. *
(Click yes.)
Required
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