SJJ Band Program Prospective Member Form 2021-2022

Welcome to your first step of becoming a member of the OMEA Superior rated, award winning SJJ Titan Band Program! We hope you join us this year!

If you would like to receive more information about the SJJ Band Program, or if you would like to sign up  and get started - please fill out the form below! We are happy to answer any questions you may have.
For more specialized information on the specific sections please contact the following:

Mr. Zach Karpuszka -, 440.622.5075

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Last Name: *
First Name: *
Street Address: *
City: *
State: *
Zip Code: *
Your Cell Phone Number (if you don't have a cell phone, please specify that): *
Email Address (MUST be one that you check!): *
Current School: *
School you will attend in Fall of 2022: *
Grade Level (what grade WILL you be in Fall 2022: *
If you are (or going to be) an SJJ student and you know your student ID number, please enter that number here:
Instrument/Section (please select all that apply): *
Parent/Guardan #1 Full Name: *
Relationship to Student: *
Cell Phone: *
Email address (MUST be one that is checked): *
Parent/Guardian #2 Full Name:
Relationship to Student:
Cell Phone Number:
Email Address (MUST be one that is checked):
Please designate your level of interest in the SJJ Band Program: *
The marching band does rehearse in the summer. We understand that people do have summer vacations planned and try to work around those as much as possible. Please list your summer conflicts here: *
T-Shirt Size (based on adult sizes): *
Do you have any questions at this time? *
Due to COVID-19, please be advised that summer rehearsals for the season are going to be subject to change and based on the restrictions put in place by the State of Ohio for the safety of our performers and staff. Every effort will be made to ensure that the students are safe and have an enjoyable experience. The SJJ Band staff will be working closely with SJJ administrators and other coaches and instructors in the coming months as this unfolds and what that means for our respective activities. You will be updated timely as soon as information is made available to us. *
The information you have provided on this sheet will be entered into a database to be shared with other members/parents of the band upon entry of the program. This allows for better communication as well as fellowship within our band community. Please indicate below if you would like for your information to be made public or private. *
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