2019 DYBB Registration
Please read through all of the information carefully and complete the form to the best of your ability.

The course will meet:
Tuesday, June 18th, 2019 from 4:00--7:00pm
Thursday, June 20th, 2019 from 4:00--7:00pm
Friday, June 21st, 2019 from 4:00--7:00pm
Saturday, June 22nd, 2019 Afternoon Performance (time TBD)
*Free private lessons may be available before or after rehearsals on a first come first serve basis

Fees are $40/Dublin City Schools student, $50/students outside of Dublin. Groups of 3 or more students that register together are $30/student (same school or same family, etc..). DYBB shirts are an additional $15.

In addition to the form, please pay online in the Dublin Community Band store (http://bit.do/dublinbandsstore) or send payment to DYBB c/o Patrick Herak, 6358 Sharon Woods Blvd, Columbus, OH 43229

Registration is due by May 20th, 2019. Students that register by May 1st, 2019 will receive a free shirt.

First Name *
Your answer
Last Name *
Your answer
Street
Your answer
City
Your answer
Zip Code
Your answer
Phone Number *
Your answer
Parent Name *
Your answer
Parent E-mail (for course communications) *
Your answer
Parent Phone Number (in case of emergency) *
Your answer
Grade for the 2018-2019 School Year *
School *
Your answer
Band Director *
Your answer
Band Director E-mail (we will want to confirm band director support) *
Your answer
School Band Instrument(s) *
Your answer
Brass Band Instrument(s) (select all you are interested in)
If there is a particular part/instrument you are interested in, please state that here.
Your answer
If you are signed up for baritone, euphonium, trombone or tuba, will you require bass clef parts?
Private Lesson(s) Teacher (optional)
Your answer
Year's studied your instrument *
Your answer
Known Allergies
Your answer
Will you need a DYBB shirt? *
(If you sign up by May 1st, 2019, the T-shirt is free)
If you need a shirt, what size? (adult sizes)
Are you interested in a private lesson? *
Other students in your group (for the group rate)
Your answer
Occasionally we like to use student photos/ videos for promotional purposes. If you would like to "opt out" please indicate below.
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service