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16
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1
Participant Name
*
This field is required.
First Name
Last Name
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2
Parent/Guardian
*
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First Name
Last Name
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3
Email
example@example.com
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4
Phone Number
*
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Area Code
Phone Number
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5
Participant Number (If applicable)
Area Code
Phone Number
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6
Emergency Contact
*
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Area Code
Phone Number
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7
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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8
Medical Conditions (If any)
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9
Copy of Physical (Or submit in person)
Drag and drop files here
Select files to upload
Max. file size
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Medical Record
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10
Birth Date
*
This field is required.
-
Month
Day
Year
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11
Music Core Group
*
This field is required.
Please Select
Woodwind
Upper Brass (Trumpet, Mello..etc)
Lower Brass (Baritone, Tuba, Trom...etc)
Percussion/Drums
Studio Engineer
Vocalist(Rapper/Singer/Lyricist)
Poet/Writer
Drama/Theater
Music Mentor/Mentorship
Music Theraphy
Please Select
Please Select
Woodwind
Upper Brass (Trumpet, Mello..etc)
Lower Brass (Baritone, Tuba, Trom...etc)
Percussion/Drums
Studio Engineer
Vocalist(Rapper/Singer/Lyricist)
Poet/Writer
Drama/Theater
Music Mentor/Mentorship
Music Theraphy
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12
If Auxiliaries-(Majorette, Dance,Drill Etc...)
Dance
Majorette
Flag
Drill Team/Guard
Banner
Letter Carrier
Dance
Majorette
Flag
Drill Team/Guard
Banner
Letter Carrier
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13
Select a Season
*
This field is required.
Summer Band
Fall/Winter(Parade Season)
Spring Concert/Brass Band
ALL Seasons
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14
Please Select Primary Source of Transportation
*
This field is required.
Public Bus Service
Walker
Car Rider
In need of Van Services
Uber/Dropoffs
Other
Other
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15
Student Sizes
Youth Large/Adult Small
Adult Med
Adult Large
Adult XL
Adult XXL/3X
Shirt Size
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
Row 0, Column 4
Jacket/Sleeves
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Row 1, Column 3
Row 1, Column 4
Pants/Joggers
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Row 2, Column 3
Row 2, Column 4
Shirt Size
Jacket/Sleeves
Pants/Joggers
Youth Large/Adult Small
Row 0, Column 0
Adult Med
Row 0, Column 1
Adult Large
Row 0, Column 2
Adult XL
Row 0, Column 3
Adult XXL/3X
Row 0, Column 4
Youth Large/Adult Small
Row 1, Column 0
Adult Med
Row 1, Column 1
Adult Large
Row 1, Column 2
Adult XL
Row 1, Column 3
Adult XXL/3X
Row 1, Column 4
Youth Large/Adult Small
Row 2, Column 0
Adult Med
Row 2, Column 1
Adult Large
Row 2, Column 2
Adult XL
Row 2, Column 3
Adult XXL/3X
Row 2, Column 4
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16
RMC Registration Fee
*
This field is required.
Please SELECT ONE. Registration fee covers the participants music materials, food/snack, instrument maintenance and one new RMC spirit band shirt/hoodie.
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$20
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Great Product Name
$20
Quantity:
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Size:
Small
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Great Product Name
$20
Quantity:
1
Size:
Small
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Great Product Name
$20
Quantity:
1
Size:
Small
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ORDER SUMMARY
$40
USD
Spring - Registration Fee
Payment covers the band session for this quarter.
$
30.00
+
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Spring/Summer Band - Registration Fee
Payment covers the band session for this quarter.
$
60.00
+
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VAN SERVICE - Spring/Summer Band - Registration Fee
Payment covers the band session for this quarter with VAN Service
$
80.00
+
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Fall/Winter Season (Parades) - Registration Fee
Payment covers the band session for this quarter
$
75.00
+
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VAN SERVICE - Fall/Winter Season Parades - Registration Fee
Payment covers the band session for this quarter with VAN Service
$
100.00
+
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Payment Methods
Credit Card
First Name
Last Name
Cash App
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Google Pay
After submitting the form, you will be redirected to the Google Pay to complete the payment process.
Apple Pay
After submitting the form, you will be redirected to the Apple Pay to complete the payment.
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