2019-2020 Siegel Band Registration
Student First Name: *
Your answer
Student Middle Name
Your answer
Student Last Name *
Your answer
Current Grade: *
Date of Birth Month (number) *
Date of Birth Day (number) *
Date of Birth Year *
*
What Middle School did you attend? *
Shirt Size: *
Street Address (no city, no state, no zip) *
Your answer
City *
Your answer
State *
Zip *
Your answer
Student Phone *
Your answer
Student Email *
Your answer
Concert Instrument: *
Marching Instrument *
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