MVMB 2021 Registration
Registration form for participation in the Miamisburg Marching Band 2021 season
* Required
Student First Name
*
Your answer
Student Last Name
*
Your answer
2021-2022 Grade
*
NOT your 2020-2021 grade!
8
9
10
11
12
Student ID Number (type 000 if student does not have a current Miamisburg ID)
*
Your answer
Parent/Guardian Name Last, First
*
Please include all groups of parents that are responsible for the child. Separate with a semi-colon if necessary.
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, Please include phone numbers as needed for students with multiple families, etc.
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
ex:
bgates@microsoft.com
Your answer
Other Email
Please separate all additional email addresses with a common. Please include both parents and all work emails, etc. You are welcome and encouraged to include student emails if you would like them to receive band related communication. PLEASE NOTE: Email addresses from previous years are NOT carried over automatically, so please include ANY address with which you would like to receive Blue Sheets, etc.
Your answer
Student Adult T-shirt Size
*
S
M
L
XL
XXL
Other:
Gender
*
Male
Female
Shoe Size
Only if ordering shoes (all new members need shoes). Please leave this blank if you already have marching band shoes. Guard members do not need to complete this.
Your answer
Please List Any Special Health/Dietary Concerns
Your answer
Marching Band Instrument
*
Flute
Clarinet
Alto Sax
Tenor Sax
Baritone Sax
Bass Clarinet
Trumpet
Mellophone
Trombone
Baritone
Tuba
Percussion
Color Guard
Field Commander
How would you like to pay your band fees?
*
Information about band fees will take place much later in the spring. Be on the lookout for this information towards the end of the school year. You do not need to make a payment at this time.
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)
Please check this box if this the student's first year as a member of the marching band.
Check here.
By clicking "Yes" below, I enroll in the 2021 Miamisburg Viking Marching Band. I agree to abide by the policies of the Miamisburg Band Program and the 2021 Calendar.
*
(Click yes.)
Yes!
Required
Submit
Page 1 of 1
Never submit passwords through Google Forms.
This form was created inside of Miamisburg City Schools.
Report Abuse
Forms
