Pre-Registration Form

Homeschool Bands
c/o 148 Glenwood Ave.
Burlington, NJ 08190
Cell: (609) 424-7861
Home: (609) 386-1221
e-mail: info@homeschoolband.org

Name ___________________ Phone #_______________________

Mailing address ______________________________________________________________________

Please check the group you are interested in.
____ beginning band _____ intermediate band _____ advanced band _____ jazz band

Check your instrument.
___ Flute ___ Clarinet ___ Saxophone ___ Trumpet ___ Oboe ___ French Horn ___ Bassoon ___ Trombone ___ Percussion ___ Tuba ___ Baritone ___ Other (Please Specify) ___________________

Years of Playing Experience _________

____My child is a beginner. What instrument should he/she play?