Brass Boneanza

Step One: Please enter your Registration information

Student Name

First Name

Last Name

Instrument

Age

Years Played

Information

Parent 1 Name

First Name

Last Name

Mailing Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Parent 2 Name

First Name

Last Name

Email Address

Medical Carrier & Policy

In case of Emergency

Emergency Contact

In case of Emergency, please provide Name and Phone Number of a contact other than listed above.

Medical Information

Food Allergies, Insect/other Allergies, Dietary Restrictions and any other pertinent information to help us serve you better.

T-Shirt Size

(Adult Sizes) What size t-shirt do you wear?