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2023-2024 Roaring Bengals Marching Band Registration Form
There are two parts to this form. First is the general information, then the medical information. Please make sure you complete both parts of the form. You can pay the marching band fees ($150 without dinkles and $190 with dinkles) online by credit card (
http://www.blakemusic.org/store/p38/Marching_Band_Payment.html
), or by check delivered to Mr. Eising or Mr. Solomon
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* Indicates required question
Student First Name
*
Your answer
Student Last Name
*
Your answer
Student Gender
*
Choose
Male
Female
Other
Student Grade Level for 2023-2024 School Year
*
Choose
8
9
10
11
12
Student ID Number
*
Your answer
Instrument/Section
*
If you don't see your instrument listed, please email Mr. Eising (
jonathan.k.eising@mcpsmd.net
)
Choose
Drum Major
Flute
Clarinet
Alto Saxophone
Tenor Saxophone
Baritone Saxophone
Trumpet
French Horn/Mellophone
Trombone
Baritone
Tuba/Sousaphone
Percussion/Drumline
Electric Bass
Electric Guitar
Keyboard
Color Guard
Other:
Instrument Make/Model
*
If you are using a school instrument, just type 'SCHOOL' here.
Your answer
Instrument Serial Number
*
If you are using a school instrument, just type 'SCHOOL' here. If you are not sure how to find your instrument's serial number, there are a number of websites that can help you. Just do a Google search!
Your answer
Student Shoe Size
*
Please specify whether the size is men's or women's.
Your answer
Student T-Shirt Size
*
All sizes are men's adult
Small
Medium
Large
Extra Large
2XL
Other:
Student Email Address
*
Please provide an email address that you check regularly
Your answer
Student Cell Phone Number
*
Please use xxx-xxx-xxxx format
Your answer
Street Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Home Phone Number
*
Please use xxx-xxx-xxxx format
Your answer
Parent/Guardian Name(s) & Relation(s)
*
Your answer
Parent/Guardian Email Address(es)
*
Please indicate which address belongs to which parent/guardian
Your answer
Parent/Guardian Cell Phone Number(s)
*
Please indicate which number belongs to which parent/guardian
Your answer
Parent/Guardian Work Phone Number(s)
*
Please indicate which number belongs to which parent/guardian
Your answer
Please list any known conflicts with the dates on the Marching Band schedule.
*
You can view the schedule here:
https://docs.google.com/document/d/1l5rgotyHf5xDsM4iH7t41mS-e8wvgyVz-28Y1-M8luI/edit?usp=sharing
Your answer
STUDENTS: By typing my name in this response box, I acknowledge that I have read the Blake High School Marching Band Handbook, and that I understand and will adhere to all the policies outlined within.
*
You can view the handbook here:
https://docs.google.com/document/d/1_SgTPV3EoNmLkQZm-oygNO6AsiKGIZHWKV4FpKxdZg0/edit?usp=sharing
Your answer
PARENTS/GUARDIANS: By typing my name in this response box, I acknowledge that I have read the Blake High School Marching Band Handbook, and that I understand and will adhere to all the policies outlined within. Additionally, I give permission for my child to travel with the band to all official functions and performances that are off-campus.
*
You can view the handbook here:
https://docs.google.com/document/d/1_SgTPV3EoNmLkQZm-oygNO6AsiKGIZHWKV4FpKxdZg0/edit?usp=sharing
Your answer
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