MVMB 2018 Registration
Registration form for participation in the Miamisburg Marching Band 2018 season
Student First Name
Student Last Name
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.
ex: 156 Elm St
Primary Phone Number (Must Be Parent/Guardian)
Secondary Phone Number
Other Phone Number
Primary Email (Must Be Parent/Guardian)
This is the email address in which electronic invoices will be sent (ex:
Please separate all additional email addresses with a common. Please include both parents and all work emails, etc.
Student Adult T-shirt Size
Only if ordering shoes (all new members need shoes)
Please List Any Special Health/Dietary Concerns
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.
Credit Card (invoice will be e-mailed to your primary email.)
Check (made payable to Miamisburg Band Boosters - place in Booster Box in band room at MHS or MMS)
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.
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