Student Registration Form
Parents should complete the form below after the student has been nominated by his/her Band Director. Only students nominated by their Band Director will be accepted into the All Burlington County Middle School Honors Band. Please review the Signature Form for Rehearsal and Concert Schedule, Attendance Policy, and Student Conduct Policy.  Students must attend all rehearsals to be eligible for the concert. Any questions, please contact your child's Band Director. 
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Email *
Student Name (Full Name) *
Student School Email *
Student Grade *
Student 1: Instrument *
Student Health Information *
Please report any allergies or health conditions (ex. asthma) that organizers should be aware of. If there are no health concerns, please type N/A.
Parent/Guardian Name *
Parent/Guardian Phone Number *
Parent/Guardian Email *
Emergency Contact Name *
Should be different from Parent/Guardian above
Emergency Contact Relationship to Student
Emergency Contact Phone Number *
I give my child/ward permission to participate in this year's All Burlington County Honors Band. I understand that my child/ward needs to follow the Attendance and Conduct Policies as stated in the Signature Form and Information Page. Please type name below if you agree. *
A copy of your responses will be emailed to the address you provided.
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