Wufoo
2017 - 2018 Viking Band Registration
Please complete all fields of this form. if a section is not applicable, please list NONE to move to the next field.
Student Name
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First
Last
Student Status
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Freshman/New Band Student
Veteran/Returning Band Student
Instrument
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Junior High School
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Select current grade level
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Freshman
Sophomore
Junior
Senior
Student Cell Phone
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Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
United States
United Kingdom
Australia
Canada
France
New Zealand
India
Brazil
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Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Comoros
Democratic Republic of the Congo
Republic of the Congo
Cook Islands
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Faroe Islands
Fiji
Finland
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Curacao
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Yemen
Zambia
Zimbabwe
Country
Home Phone Number
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Parent Name 1
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First
Last
Parent 1 Email Address
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Parent 1 Cell Phone
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Parent Name 2
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First
Last
Parent 2 Email Address
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Parent 2 Cell Phone
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Select Shirt Size (Band T-shirt & Concert Dress Shirt)
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Small
Medium
Large
XL
2XL
Shoe Size. Please indicate half sizes. (i.e. 7.5, 8)
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Will you be participating in sports or clubs during the 2016-2017 school year? Please list those below with your coach/sponsor name if possible. (i.e. Freshman Football - Coach Laba) If NONE, please state "NONE".
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Some students require school instruments. Tubas, Mellophones, Marching Baritones, Percussion. Please Select our instrument below.
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Sousaphone - Tuba
Euphonium - Marching Baritone
Mellophone - French Horn
Saxophone - Oboe Players
Percussion
NO INSTRUMENT NEEDED
Emergency Contact. In an emergency, if a parent/guardian cannot be reached the following person will be contacted:
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First
Last
Emergency Contact Phone Number
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Allergy Information: Please list all allergies (food and environmental) If the student carries an Epipen, or other emergency recovery medication, please include that information. If this section is not applicable, please type "NONE".
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Other Medical Concerns: Please list any other medical concerns that may impact your student's ability to participate in Marchin Band, or conditions that the Band Instructors should be made aware of. Example: Asthma, Anxiety, Heat Intolerance, etc. If not applicable, please type "NONE".
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Band Camp Fees
Returning Band Member (Fee includes: Band Camp Pool Party admission, Band Camp T-Bolt ticket, Game Day Dinners during Marching Season) $100.00
New Band Member (Fee includes:Pool Party, T-Bolt ticket, Band T-Shirt, Marching Shoes, Concert Shirt, Game Day Dinners during Marching Season) $150.00
Do Not Fill This Out