First Name______________________ Last Name_________________________
Address____________________________________________________________
City_________________________ State______ Zipcode___________________
Home Phone____________________ Work/Cell__________________________
Email__________________________________________
Instrument 1____________________ Experience__________________________
Instrument 2____________________ Experience__________________________
Dates absent:_______________________________________________________
Jazz Band member also? (Yes)___ Paid thru Jazz Band? (Yes)___ (No)____
Registration Fee
There is a $25.00 registration fee, a maximum of $50.00 for families with multiple members. There is only one fee even if you choose membership in both Concert Band and Jazz Band. Please print and fill out a form for each band in which you will be playing. Mail form(s) and check to the address above. Make checks payable to: Lisle Community Band
Administrative use only.