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Marian Band Registration 2018-2019
Membership Registration and Contact Information
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* Indicates required question
1. Last Name (student)
*
Your answer
2. First Name (student)
*
Your answer
3. Home Address
*
(Street, City, State, Zip)
Your answer
4. Instrument or Band Duty
*
(Check all that apply)
Wind Instrument (Brass or Woodwind)
Guard (Flags, Silks, Rifles, Sabres)
Majorette (must also select Guard)
Honor Guard (Banner, American Flag, etc.)
Drumline
Pit Percussion
Required
5. Type of instrument(s) you play
*
(Add how long you have been playing)
Your answer
6. Grade for 2018-2019 School Year
*
(Mark only one)
6
7
8
9
10
11
12
7. School attending for 2018-2019 School Year
(Mark only one)
Marian
Holy Family
Trinity
St. Jerome's
St. John Neumann
Clear selection
8. Parent/Guardian's Name(s)
Your answer
9. Home Phone
Your answer
10. Cell Phone (Parent/Guardian)
Your answer
11. Cell Phone (Student)
Your answer
12. Email Address (Parent/Guardian)
Your answer
13. Email Address (Student)
Your answer
Submit
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