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Registration Form
All
6th, 7th and 8th grade instrumentalists
and
potential members of the Color Guard
who are not currently members of the marching band are invited to join the Marching Band for
practice on
Tuesday, October 11th
, and
Thursday, October 13th from 5:30-6:30
pm at PTHS (fields just below the HS) and at the
HS home football game on Friday, October 14th
. Middle school students will perform with the marching band for Pregame and then are invited to sit with the band
for the remainder of the game.
More information is
available on the Peters Township Music Booster Website at
ptmusicboosters.com
. Any questions can be directed to the Music Boosters (ptmboosters@gmail.com) or Mr. Koszarek (koszarekj@pt-sd.org).
REGISTRATION IS DUE BY OCTOBER 6TH
.
NOTE: STUDENTS WHO PARTICIPATE IN PREGAME SHOW BY MARCHING INTO THE STADIUM WITH THE MARCHING BAND DO NOT NEED TO PURCHASE A TICKET.
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* Indicates required question
Student's First and Last Name
*
Your answer
Student's Current Grade
*
Sixth Grade
Seventh Grade
Eighth Grade
Instrument Played
*
Flute/Piccolo
Clarinet/Oboe
Trumpet
Saxophone
Mellophone
Trombone
Tuba
Drums
Cymbals
Keyboard (play front ensemble)
Interested in Color Guard
Other
Required
Parent/Guardian Name(s)
*
Your answer
Primary emergency contact phone number to be used in case of emergency and/or to contact for informational purposes.
*
Your answer
Secondary emergency contact phone number to be used in case of emergency and/or to contact for informational purposes.
*
Your answer
Parent/Guardian email address(es).
*
Your answer
Tuesday, October 11, 2022: Student will attend Marching Band Practice at PTHS.
*
Yes
No
Maybe (Explain in final question)
Thursday, October 13, 2022: Student will attend Marching Band Practice at PTHS.
*
Yes
No
Maybe (Explain Answer Below)
Friday, October 14, 2022: Student will attend the game with the Peters Township Marching Band
*
Yes
No
Maybe (Explain Answer Below)
Choose one of the options below for participating in the game on Friday, October 14, 2022. All middle school students must sign out with a director.
Sit and perform with the band - leave AFTER halftime
Sit and perform with the band - leave at END of the game
Neither. Student will not attend the game on October 14, 2022
Clear selection
2023-2024: Student is interested in Joining the Marching Band for the Fall, 2023 season.
*
Yes, student is in seventh or eighth grade and is interested in joining the MB for the Fall 2023 season.
No, student is only in 6th Grade.
No, student is not interested in joining the Marching Band for the Fall, 2023 season
Maybe (explain answer below)
Does the student have any allergies or other concerns that the director and chaperones should be aware of. (students are provided water and a snack after halftime. Gluten free and peanut free snacks are available to students. Students choose their own snacks from a number of options.)
*
Yes. Please provide details in the Final Question.
No
Maybe. Please provide details in the Final Question.
Please use this response to provide additional information regarding any of the prior questions and/or to provide any additional information or ask any questions. If none, enter N/A or "None".
*
Your answer
Please identify the name of the person filling out this Questionnaire.
*
Your answer
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