PMB Application Form 2009-10

Current Students | Prospective Students | Pep Bands | Colorguard | Drumline| FAQ

Also, please remember to register for the class.
Freshman/Sophomore - 530:018:01
Junior/Senior/Grad Students - 530:118:01

Student Information

Name:

UNI Student Number:

Instrument (Primary):

Instrument Ownership:

Instrument (2nd, if any):

2nd Instrument Ownership(if any):

UNI e-mail Address:

UNI Address (2009-2010)

Address:

City:

State:

Zip Code:

Phone:

Home Address Same as above:

Address:

City:

State:

Zip Code:

Phone:

Cell Phone:
Contact:

Marching Band Experience

High School:

High School Band Director:

Year in PMB:

Have you been assigned a Leadership position this year?*: Yes No

*You would have been notified by Dr. Galyen individually

PMB Attire

T-shirt**:

Gloves**:

PMB Baseball Hat**:

**Required for 1st year members

Winds & Percussion:
Order a pair of white band shoes for me***

size:

Colorguard:
Order a pair of black shoes for me ***

size:

***Optional

Additional Information or Comments: