MVMB 2017 Registration
Registration form for participation in the Miamisburg Marching Band 2017 season
Student First Name
Student Last Name
NOT your 2016-2017 grade!
Parent/Guardian Name Last, First
ex: Osbourne, Ozzy & Sharon
ex: 156 Elm St
Primary Phone Number (Must Be Parent/Guardian)
Secondary Phone Number
Other Phone Number
Primary Email (Must Be Parent/Guardian)
This is the email address in which electronic invoices will be sent (ex:
Please separate all additional email addresses with a common. Please include both parents and all work emails, etc.
Student Adult T-shirt Size
Only if ordering shoes (all new members need shoes)
Please List Any Special Health/Dietary Concerns
Marching Band Instrument
How would you like to pay your $100 deposit?
Depost payable towards your band fees.
Credit Card (invoice will be e-mailed to your primary email.)
Check (made payable to Miamisburg Band Boosters - place in Booster Box in band room at MHS or MMS)
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
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