MVMB 2018 Registration
Registration form for participation in the Miamisburg Marching Band 2018 season
Student First Name *
Your answer
Student Last Name *
Your answer
2018-2019 Grade *
NOT your 2017-2018 grade!
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
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
Your answer
Other Email
Please separate all additional email addresses with a common. Please include both parents and all work emails, etc.
Your answer
Student Adult T-shirt Size *
Gender *
Shoe Size
Only if ordering shoes (all new members need shoes)
Your answer
Please List Any Special Health/Dietary Concerns
Your answer
Marching Band Instrument *
How would you like to pay your $100 deposit? *
Deposit payable towards your band fees. Information about deposits will take place much later in the spring. Be on the lookout for this information towards the end of the school year.
By clicking "Yes" below, I enroll in the 2018 Miamisburg Viking Marching Band. I agree to abide by the policies of the Miamisburg Band Program and the 2018 Calendar. *
(Click yes.)
Required
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