Contact Information
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| First Name: |
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| Last Name: |
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| Permanent Address |
| Street Address: |
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| City: |
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| State: |
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| ZIP Code: |
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| Campus/Local Address (if known) |
| Street Address: |
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| City: |
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| State: |
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| ZIP Code: |
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| Permanent Phone: |
(include area code) |
| Campus/Local Phone: |
(if known) |
| Cell Phone: |
(include area code) |
| Northwest Email: |
(if known) |
| Alternative Email: |
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Student Information
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| Student ID (919#): |
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| High School: |
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| Fall 2019 Classification: |
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| Major: |
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Will this be your first year
in the BMB? |
Yes No |
| Will you live on campus? |
Yes No |
| Residence Hall: |
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Will you purchase a
campus meal plan? |
Yes No Undecided |
| Are you a vegetarian? |
Yes No |
| Do you have a food allergy? |
Yes No |
| Describe Allergies: |
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Emergency Contact
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| Contact Name: |
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| Primary Phone: |
(format: ###-###-####) include area code |
Band Information
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| Instrument/Area: |
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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
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- NOTE:
- Wind Players: Marching band shoes, gloves, instrument lyre and t-shirt are required.
- Percussionists: Marching band shoes 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.
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- NOTE:
- Colorguard Members: Shoes and other accessories will be ordered separately.
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Need to order shoes?
Approximately $35.00 |
Yes, charge my 919 account
Yes, I'll pay at camp
No, I already have marching band shoes |
| Shoe Size: |
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Need to order gloves?
Approximately $3.00 |
Yes, charge my 919 account
Yes, I'll pay at camp
No, I already have gloves |
| Glove Size? |
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Need to order a lyre?
Approximately $2.00 - $16.00
(cost varies by instrument)
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Yes, charge my 919 account
Yes, I'll pay at camp
No, I already have a lyre |
| Instrument Lyre: |
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T-Shirt Size:
T-shirt is included for FREE |
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Need to order a BMB
Baseball Cap?
Approximately $10.00
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First-time BMB members, with the exception of sousaphone and Colorguard, are automatically ordered a BMB baseball cap for use with the summer uniform and charged approximately $10.00.
Are you a returning BMB member or a Colorguard member/sousaphone player who would like would like to order a new BMB Baseball Cap?
Yes, charge my 919 account
Yes, I'll pay at camp |
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The cost of shoes, gloves, and lyre, if selected, will be charged to your campus account and will be non-refundable, with the exception of sizing discrepancies.
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CLICK THE SUBMIT BUTTON ONLY ONCE
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