MVMB 2021 Registration
Registration form for participation in the Miamisburg Marching Band 2021 season
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Student First Name *
Student Last Name *
2021-2022 Grade *
NOT your 2020-2021 grade!
Student ID Number (type 000 if student does not have a current Miamisburg ID) *
Parent/Guardian Name Last, First *
Please include all groups of parents that are responsible for the child. Separate with a semi-colon if necessary.
Street Address *
ex: 156 Elm St
City *
ex: Miamisburg
Zip *
ex: 90210
Primary Phone Number (Must Be Parent/Guardian) *
ex: 937-867-5309, Please include phone numbers as needed for students with multiple families, etc.
Secondary Phone Number
ex: 937-867-5309
Other Phone Number
ex: 937-867-5309
Primary Email (Must Be Parent/Guardian) *
This is the email address in which electronic invoices will be sent (ex: bgates@microsoft.com)
Secondary Email
Other Email
Please separate all additional email addresses with a common. Please include both parents and all work emails, etc. You are welcome and encouraged to include student emails if you would like them to receive band related communication. PLEASE NOTE: Email addresses from previous years are NOT carried over automatically, so please include ANY address with which you would like to receive Blue Sheets, etc.
Student Adult T-shirt Size *
Gender *
Shoe Size
Only if ordering shoes (all new members need shoes). Please leave this blank if you already have marching band shoes. Guard members do not need to complete this.
Please List Any Special Health/Dietary Concerns
Marching Band Instrument *
How would you like to pay your band fees? *
Information about band fees will take place much later in the spring. Be on the lookout for this information towards the end of the school year. You do not need to make a payment at this time.
Please check this box if this the student's first year as a member of the marching band.
By clicking "Yes" below, I enroll in the 2021 Miamisburg Viking Marching Band. I agree to abide by the policies of the Miamisburg Band Program and the 2021 Calendar. *
(Click yes.)
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