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Northwest Missouri State University

Band Camp Registration

All fields are required.

Contact Information

First Name:
Last Name:
Permanent Address
    Street Address:  
    ZIP Code:
Campus/Local Address (if known)
   Street Address:  
   ZIP Code:
Permanent Phone: (include area code)
Campus/Local Phone: (if known)
Cell Phone: (include area code)
Northwest Email: (if known)
Alternative Email:

Student Information

Student ID (919#):
High School:
Fall 2015 Classification:
Will you live on campus? Yes    No
Residence Hall:
Will you purchase a
campus meal plan?
Yes    No    Undecided
Do you have a food allergy? Yes    No
Describe Allergies:

Band Information


School-owned instruments are available to all mellophone, baritone, sousaphone and percussion players. Other instruments are available on a limited basis, as needed. 

Will you require a school-owned instrument?
Yes    No

  • Note: Marching band shoes, gloves, instrument lyre and t-shirt are required.
  • Band shoes must be BLACK; no sneakers, boots or other types of shoes.
  • Gloves must be long-wrist and black.
Need to order shoes? Yes    No, I already have marching band shoes
Shoe Size:
Need to order gloves? Yes    No, I already have gloves
Glove Size?
Need to order a lyre? Yes    No, I already have a lyre
Instrument Lyre:
T-Shirt Size:


The cost of shoes, gloves and lyre, if selected, will be charged to the student at camp.
The t-shirt is included for free.