First Name:   MI:   Last Name:

Home Address:

City: State:  Zip Code:

Lawrence Address:

City: State:  Zip Code:

Phone:         Cell Phone:

E-mail address:

Instrument:  INSTRUMENT Flute/Piccolo Clarinet Saxophone French Horn Trumpet/Cornet Trombone Euphonium Tuba Snare Quints Bass Drum Cymbals Color Guard Twirler       

Number of years you have played this instrument:  YEARS 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 21 23 24 25 26

High School you attended:        

School District this High School is located in: 

High School band director's name:        

High School graduation date? (Month/Year): 

What is your major in college?: 

Prior years experience in High School Marching Band:  YEARS 1 2 3 4 5

Prior years experience in College Marching Band:  YEARS 1 2 3 4 5+

Prior years experience in Drum and Bugle Corps:  YEARS 1 2 3 4 5+

Which corps:

Prior years experience in Winter Guard:  YEARS 1 2 3 4 5+

Which one(s):

For college transfer student only:

Current college/university?

City & State current college is located in: 

What is your current major: 

What is your current classification?:  CLASSIFICATION FR SO JR SR PB GRAD

Which college ensembles have you participated in? (Check all that apply)

Marching Band
Wind Ensemble
Symphonic/Concert Band
Orchestra
Jazz Ensemble

To:

Subject:

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