Membership Form
This form will provide information to the Manatee Community Band Board of Directors.  It allows us to have current contact information and emergency contact information for you as well as preparing needed materials and emails to send to members. Thank you for you time.  
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First Name *
Last Name *
Street Address *
City *
State *
Zip Code *
Are you a full time resident? *
If you are not a full time resident please provide your summer address
If you are not a full time resident, when do you usually arrive and depart Florida for the season?
Email Address *
Home Phone Number *
Cell Phone Number
Emergency Contact Name *
Emergency Contact Phone Number *
Main Instrument *
What part are you most comfortable playing? *
What is your secondary instrument (if any)?
Past Musical Experience *
Are you retired?
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What is/was your occupation?
What are your other interests and/or hobbies?
Please provide a short description of why you are joining the band
Please check at least one area you are willing to assist with the band *
I give permission for the Manatee Community Concert Band to use my name and image (either in photograph, a or video) on it's website, in promotional videos, marketing materials and any other media form necessary to promote the band.   *
Electronic Signature (please fill in your first and last name) *
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