2019 UTD Pep Band Interest Form
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Email *
Contact Information
Last name *
First name *
UTD NetID (Provide if you already have one)
Age *
**If you are age 17 or younger, please be sure to fill out the "Parent Information" section at the end of this form.
Phone number *
UTD status Fall 2019 *
Check all that apply.
Required
Fall 2019 Housing *
If you will be living on campus, we will make sure you are assigned a move-in date of either 8/13 or 8/14, so that you can participate in the 2-day camp on 8/15 and 8/16.
Instrument(s) and Experience
Instrument(s) *
Check all that apply.
Required
Can you provide your own instrument? *
How many years playing experience on the instruments checked above? *
What high school(s) did you attend? (Please include city and state) *
Were you a drum major? *
Optional
List any playing honors you have received.
Give any other information you feel is relevant to your participation in the UTD Pep Band.
**Parent Information
Parent Name  
Parent Email
Parent Phone
A copy of your responses will be emailed to the address you provided.
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