Hinds CC Student Band Application

Fields marked with a * are required
Full Name:*
Home Address:*
City:*
State:*
Zip:*
Parent or Guardian Name:*
Home Phone:
Cell Phone:
High School:*
Graduation year:*

Housing plans:*

ACT score:

T-shirt size:

Lion's Band Member:*
Chair #:

Drum Corp Member:*
Corps Name:

Email Address:

Instrument(Check all that apply):






Other:

Guard Skills (Check all that apply):


Areas of interest:



This information will be submitted to Shane Sprayberry, Director.

Questions/Comments:

Hinds Community College, P.O. Box 1100, Raymond, MS 39154 | 1.800.HINDSCC
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Hinds Community College is an Equal Opportunity Employer