Last Name
Instrument Piccolo Flute Oboe Clarinet Bass Clarinet Bassoon Alto Saxophone Tenor Saxophone Baritone Saxophone Trumpet French Horn Trombone Euphonium (TC) Euphonium (BC) Tuba Percussion Percussion (keyboards) Other
Class Freshman Sophomore Junior Senior
T-Shirt Size S M L XL 2XL 3XL
Name of High School
Band Director
Chair within your section
Are you currently taking private lessons? Yes No
If yes, how long have you been taking lessons? 1 year 2 years 3 years 4 or more years
Please list any all-state, honors, district or regional bands or solo/ensemble contests in which you have participated
Email
Home Phone
Address 1
Address 2
City
State
Zip
If selected, you will be chaperoned by? Your band director Your parent or another band parent Not yet certain You will be staying at home overnight
Comments or Questions?
