McKENDREE UNIVERSITY BANDS

We are making plans for our ensembles for the 2012-2013 school year. To help us better prepare for the school year, please respond to the following questions. If you will not be attending McKendree we ask that you mark the appropriate box and return the form to us so we can take you off our mailing list. If you are attending McKendree but are not participating in an ensemble please let us know. Thank you for your prompt response.

Name: *

Instrument:

EDUCATIONAL INTENT (check one)

I plan on attending McKendree University and participate in band in fall of 2012

I plan on attending McKendree University but not participating in band in the fall of 2012

I do not plan on attending McKendree University in the fall of 2012

MARCHING BEARCAT BAND (check one)

I plan on participating in the Marching Bearcat Band for the fall of 2012

I do not plan on participating in the Marching Bearcat Band for the fall of 2012

MARCHING BEARCAT BAND - CAMP DINNER

Will you be attending the MBB Camp Welcome Lunch (required for all new students):

Yes

No

If Yes, how many people including yourself will attend?

INSTRUMENT USE (check one)

I will supply my own instrument

I will need to use a college instrument(s)

Please specify instrument(s) needed below:

SCHOLARSHIP INTENT (check one) - new students only

I have received and returned my Extracurricular Letter of Intent for:

Marching / Pep Band

Color Guard

Jazz Ensemble

I have not received / returned my Extracurricular Letter of Intent for the following ensembles. Please send me a new copy as soon as possible so my financial aid package is updated.

Marching / Pep Band

Color Guard

Jazz Ensemble

T-SHIRT SIZE

S

M

L

XL

2XL

ADDRESS

Please list the following information below so that we may contact you over the summer.

Address:

Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Antigua and Barbuda Aruba,Bahamas Barbados Belize Canada Cook Islands Costa Rica Cuba Dominica Dominican Republic El Salvador Grenada Guatemala Haiti Honduras Jamaica Mexico Netherlands Antilles Nicaragua Panama Puerto Rico Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Trinidad and Tobago United States Argentina Bolivia Brazil Chile Colombia Ecuador Guyana Paraguay Peru Suriname Uruguay Venezuela Albania Andorra Armenia Austria Azerbaijan Belarus Belgium Bosnia and Herzegovina Bulgaria Croatia Cyprus Czech Republic Denmark Estonia Faroe Islands Finland France Georgia Germany Greece Hungary Iceland Ireland Italy Latvia Liechtenstein Lithuania Luxembourg Macedonia Malta Moldova Monaco Montenegro Netherlands Norway Poland Portugal Romania San Marino Serbia Slovakia Slovenia Spain Sweden Switzerland Ukraine United Kingdom Vatican City Afghanistan Bahrain Bangladesh Bhutan Brunei Darussalam Myanmar Cambodia China East Timor Hong Kong India Indonesia Iran Iraq Israel Japan Jordan Kazakhstan North Korea South Korea Kuwait Kyrgyzstan Laos Lebanon Malaysia Maldives Mongolia Nepal Oman Pakistan Palestine Philippines Qatar Russia Saudi Arabia Singapore Sri Lanka Syria Taiwan Tajikistan Thailand Turkey Turkmenistan United Arab Emirates Uzbekistan Vietnam Yemen Australia Fiji Kiribati Marshall Islands Micronesia Nauru New Zealand Palau Papua New Guinea Samoa Solomon Islands Tonga Tuvalu Vanuatu Algeria Angola Benin Botswana Burkina Faso Burundi Cameroon Cape Verde Central African Republic Chad Comoros Democratic Republic of the Congo Republic of the Congo Djibouti Egypt Equatorial Guinea Eritrea Ethiopia Gabon Gambia Ghana Gibraltar Guinea Guinea-Bissau Cote d'Ivoire Kenya Lesotho Liberia Libya Madagascar Malawi Mali Mauritania Mauritius Morocco Mozambique Namibia Niger Nigeria Rwanda Sao Tome and Principe Senegal Seychelles Sierra Leone Somalia South Africa Sudan Swaziland United Republic of Tanzania Togo Tunisia Uganda Zambia Zimbabwe Country

Home Phone:

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Cell Phone:

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