2019-2020 Roaring Bengals Marching Band Registration Form
There are two parts to this form. First is the general information, then the medical information. Please make sure you complete both parts of the form. You can pay the marching band fees online by credit card (a link will be provided after you submit this form), or by check delivered to Mr. Barnes or Mr. Eising.
Student First Name *
Your answer
Student Last Name *
Your answer
Student Gender *
Student Grade Level for 2019-2020 School Year *
Student ID Number *
Last 6 Digits Only
Your answer
Instrument/Section *
If you don't see your instrument listed, please email Mr. Barnes (phillip.p.barnes@mcpsmd.net)
Instrument Make/Model *
If you are using a school instrument, just type 'SCHOOL' here.
Your answer
Instrument Serial Number *
If you are using a school instrument, just type 'SCHOOL' here. If you are not sure how to find your instrument's serial number, there are a number of websites that can help you. Just do a Google search!
Your answer
Student Shoe Size *
Please specify whether the size is men's or women's.
Your answer
Student T-Shirt Size *
All sizes are men's adult
Student Email Address *
Please provide an email address that you check regularly
Your answer
Student Cell Phone Number *
Please use xxx-xxx-xxxx format
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Home Phone Number *
Please use xxx-xxx-xxxx format
Your answer
Parent/Guardian Name(s) & Relation(s) *
Your answer
Parent/Guardian Email Address(es) *
Please indicate which address belongs to which parent/guardian
Your answer
Parent/Guardian Cell Phone Number(s) *
Please indicate which number belongs to which parent/guardian
Your answer
Parent/Guardian Work Phone Number(s) *
Please indicate which number belongs to which parent/guardian
Your answer
Please list any known conflicts with the dates on the Marching Band schedule. *
You can view the schedule here: https://docs.google.com/document/d/1XuBDJGhoJMuUAyKpWwRbhCh9uyoGMg-bKDYwIPJYffo/edit?usp=sharing or you can view the schedule by visiting http://www.blakemusic.org/calendar.html and looking for anything that begins with 'MB'.
Your answer
STUDENTS: By typing my name in this response box, I acknowledge that I have read the Blake High School Marching Band Handbook, and that I understand and will adhere to all the policies outlined within. *
Your answer
PARENTS/GUARDIANS: By typing my name in this response box, I acknowledge that I have read the Blake High School Marching Band Handbook, and that I understand and will adhere to all the policies outlined within. Additionally, I give permission for my child to travel with the band to all official functions and performances that are off-campus. *
Your answer
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