Band Club

Band Club!
MotherBrook Arts & Community Center | 123 High Street
Saturday, May 5th | 10:00am - 11:30am

* Indicates required field

Student Name *

First

Last

School *

Parent/Guardian Name *

First

Last

Phone # *

Email *

Are you their emergency contact? *

Yes No

Would you be willing to volunteer at this rehearsal? *

Yes No

Emergency Contact Name (if different) *

First

Last

Phone # *

Relation to Student *

Allergies, if any: *

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