New Member ROCB
Royal Oak Concert Band
Email address *
First name *
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Last name *
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Address *
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City *
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Zip *
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Date of Birth *
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Year you joined ROCB *
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Musical instrument *
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Secondary instrument
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Are you interested in joining Jazz Band? If yes, Which instrument? *
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Home phone (xxx-xxx-xxxx)
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Cell phone (xxx-xxx-xxxx)
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Winter address (if you have one)
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Winter city
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Winter state
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Winter zip
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Occupation *
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