REGISTRATION FORM
Address: No.18 Iyamba Lane Oron@ The True Church Of God
PERSONAL INFORMATION
FULL NAME:...........................................................DATE OF BIRTH:…………………………………………….
GENDER: …………………………………………………. ADDRESS:……………………………………………………
CITY:…………………………………………………………. STATE:………………………………………………………
PHONE NUMBER: …………………………………………. EMAIL ADDRESS:……………………………………………
PARENTS OR GUIDANCE CONTACT INFORMATION:
PARENTS OR GUIDANCE NAME:
RELATIONSHIP TO MEMBER:…………………………….
……………………………………………………………………. …………………………………………………………… MUSICAL INFORMATION
YEARS OF EXPERIENCE: (in any band or any instrument)……………………………………………
PREVIOUS BANDS/ORCHESTRA: Did you join any band before if yes state reasons for living. ………………………………………………………………………………………..,……………………………………………….
ABILITY TO READ MUSIC (YES/NO)
MEMBERSHIP TYPE:
[ ] Regular Member. [ ] Student Member. [ ] Senior Member. [ ] Honorary Member
Availability for Rehearsals I, _____________________, agree to attend all scheduled rehearsals. I understand that if I fail to attend without prior notice, I will be fined the sum of 200 naira
Additional Information: Why do you want to join JAKBET BRASS BAND____________________________________________________
How did you hear about us?...............................................................................
Consent and Agreement: I, the undersigned parent/guardian, hereby vouch for my son or daughter, affirming that he or she is not involved in cult activities, does not smoke, and is not engaged in theft. If my child is found to be involved in any of these activities, I understand that he or she will be handed over to the police. I, _________________________, agree to adhere to the rules and regulations set forth by JAKBET BRASS BAND. I understand that failure to comply may result in the termination of membership.
Signature:_________________ Date___________
For Band Administration Use Only:.
Date Received:. Membership Approved (Yes/No): Reviewed by:.
Membership ID Assigned:
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