2023 Panther Regiment Intent to March Form

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Completing this form (along with enrollment in the Marching Band Class) officially reserves your spot in the Panther Regiment's 2023 marching band season and show. This form should be submitted by June 1st, 2023. We are excited to have you!!!

If you have any questions, you may contact Mrs. Johnson at jacqueline.johnson@orange.k12.nc.us.

Student Information

Student First Name: *

Student Last Name: *

Student Email Address (please list your school email): *

Student Phone Number (###-###-####) *

Select your grade for the 2023-2024 school year: *

Select your instrument: *

Student t-shirt size: *

Student Shorts Size: *

XXL

XXXL

Please select any dietary restrictions, if applicable:

Vegetarian

Vegan

Kosher

Halal

Gluten-free

Other:

Please list any medical information (allergies, conditions, medications taken, etc.), if applicable:

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