2018 DYBB Registration
Please read through all of the information carefully and complete the form to the best of your ability.

The course will meet:
Wednesday, June 20th, 2018 from 4:30--7:30pm
Thursday, June 21st, 2018 from 4:30--7:30pm
Friday, June 22nd, 2018 from 4:30--7:30pm
Saturday, June 23rd, 2018 Afternoon Performance (time TBD)
*Free private lessons will 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, 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

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 2017-2018 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 7th, 2018, 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.
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