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Spring 2018 semester registration
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Indicates required field
Name
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First
Last
Address
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Line 1
Line 2
City
State
Zip Code
Country
Band Instrument
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Phone Number
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Cell/Emergency number
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Email
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Email (optional 2nd address)
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Student-age musicians: Parent name(s)
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Student-age musicians: School you attend
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Photo Release Electronic Signature
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PHOTO CONSENT/RELEASE. (For those under 18, this must be signed by parent/guardian.) I hereby grant permission to The Aerophone Band Corp. to take and use: photographs and/or digital images of me/my child for use in news releases and/or educational materials. These materials might include printed or electronic publications, web sites or other electronic communications. I authorize the use of these images without compensation to me. All negatives, prints, digital reproductions shall be the property of Aerophone.
T-shirt size (Please specify Adult S, M, L, XL, XXL)
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Additional information
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Please include any other information we should have about your child. Or let us know if you have any questions. Thank you.
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