Marching Wildcats Registration Form
Use the form below to register for the 2017 Millbrook High School Marching Band Season
Fields marked with a * are required. This form puts the student into the master database for the band.

The information provided will be used for band purposes only.

The Millbrook band needs accurate information for communication of information and the safety of the students it serves.

Information for one parent or guardian is required, and providing information for a second parent is preferred where possible, but optional. Email is a primary form of communication for the Millbrook Band program, and it is important that we have both parent and student email addresses that are checked regularly for effective communication.

IN addition to this online registration, there are several forms that are required in paper form. These are available on the Millbrook Band Website mhsbands.org. Please complete those forms and return with your initial deposit by June 15th, 2017.

Student First Name *
Your answer
Student Last Name *
Your answer
Grade Fall 2017 *
Student Email (one that you check regularly) *
Your answer
Gender
Birthdate *
MM
/
DD
/
YYYY
Shoe size *
Your answer
Primary Instrument *
Your answer
Marching Band Instrument *
Your answer
T-Shirt Size (adult sizes) *
Are you a Vegetarian *
Required
Can we add your contact information to the band directory? *
Household Primary Contact - First Name *
Your answer
Household Primary Contact - Last Name *
Your answer
Household Primary Contact - Relationship to Student *
Household Primary Contact - Address 1 *
Your answer
Household Primary Contact -Address 2
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Home Phone *
Your answer
Household Primary Contact - Alternate and/or cell phone
Your answer
Household Primary Contact - Email address *
Your answer
Household Primary Contact - retype Email address *
Your answer
Household Secondary Contact - Relationship to student
Household Secondary Contact - First Name
Your answer
Household Secondary Contact - Last Name
Your answer
Household Secondary Contact - Address 1 (leave blank if same as Primary)
Your answer
Household Secondary Contact - Address 2 (leave blank if same as Primary)
Your answer
Household Secondary Contact - City (leave blank if same as Primary)
Your answer
Household Secondary Contact - State (leave blank if same as Primary)
Your answer
Household Secondary Contact - Zip Code (leave blank if same as Primary)
Your answer
Household Secondary Contact - Home Phone (leave blank if same as Primary)
Your answer
Household Secondary Contact - Alternate and/or Cell Phone (leave blank if same as Primary)
Your answer
Household Secondary Contact - Email Address (leave blank if same as Primary)
Your answer
Household Secondary Contact - retype Email Address (leave blank if same as Primary)
Your answer
Volunteer Opportunities: Sometimes it takes a village. The Millbrook Band program needs your help, and there are so many ways you can. For those that are new parents or those that are looking for ways they can be even more involved, realize that along with a little work comes a lot of fun. We are indeed a family here and welcome your participation - your kids will secretly think it's cool that you are there, but they won't tell you that :) Please look through the opportunities below and check the box next to those you are interested in learning more about. On-the-job training is always provided!
All Bands - Parent / Guardian Volunteer Opportunities
Fair Share Income Opportunities
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