Registration Form NZCBA Band Weekend May 5-7 2017
Please fill in this form which will give us the information needed to make this a fun, music-filled event
Name: First and Last
Email Address - please check for accuracy as this will be the primary method of contact. We use Mailchimp for our mailouts, so please check spam if you don't receive an email ever, or contact
Instrument(s) you'd like to play over the weekend? If you are a percussionist, please elaborate.
What part would you prefer to play, if applicable? Please note that we will do our best to meet all requests.
How well do you play? Tell us a bit about your musical self. Are you interested in being a section leader?
Would you be interested in dinner at a reasonably priced (max $25-$30 mains) restaurant with others on Saturday night? We'll follow up the week of the event to confirm numbers.
Do you play with a band? We'd love to know which ones!
Would you please give us an indication of your age? We won't tell anyone else! It will help us to understand who we should target for future
Over age of 65
18 to 24
Under 18 (please note that no supervision of minors is provided by NZCBA or host band)
I'd prefer not to give my age (but if you are under 18, we have to know please)
Finally, please indicate that you agree to pay $60 to participate in NZCBA Band Weekend 2017 in New Plymouth May 5 - 7. Bank details: Westpac 03 0642 0745055 002 (or 02 if you have two spaces) Use last name as Reference.
I agree to pay as indicated above within three days of completing this form .
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