2024-2025 Pioneer Band Registration
Band Registration is required for ALL Pioneer Band students each year. This process is separate from, and in addition to, registration for Pioneer High School. Registration for Pioneer Band is submitted online. Please complete all pages of this form at one time! You will have the opportunity to edit answers after you click "Submit". The email entered here will receive a copy of the form responses. Trying to go back in the middle of the form will cause previous answers to be deleted.
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Email *
STUDENT INFORMATION
Last Name *
First Name *
Middle Name
Preferred Name
Birthdate *
(e.g., 01/01/2001)
MM
/
DD
/
YYYY
Graduation year *
Student ID# *
Gender *
Student's Gender Identity is:
Preferred Personal Pronouns
Street Address *
City *
Zip Code *
Student Email Address *
Please be sure to enter this correctly, as we will use this email to communicate with the student throughout the year.
Student Cell Phone Number *
Format: XXX-XXX-XXXX
Student Home Phone Number
(If you have a land line.) Format: XXX-XXX-XXXX
Please list primary band assignment. If you don't know yet, please check bottom box.  *
Required
Primary Concert Instrument *
Required
Marching Instrument *
Jazz Band Instrument
If you are in Jazz Band, please answer below. If you are interested in Jazz band, please contact the directors. Otherwise you can skip this question.
Clear selection
Concert Uniform *
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