Alban Classical New Horizons Band
City__________ Postal Code______________
What would you like to play? Number your first, second, third choice.
___ bassoon ___ ___ clarinet ___ flute ___ oboe ___ saxophone
___ trumpet ___ trombone ___ French horn ___ euphonium___ tuba
Would you consider trying whatever instruments are needed? ______
No musical experience is required, but if you have done any of the following, please indicate the approximate number of years.
___ Piano lessons ___ Instrumental lessons in school
___ Choral class in school ___ General music class in school
___ Guitar lessons ___ Church choir___ Community band ___ Community chorus
___ Community orchestra
___ Other (describe): _______________________________________
Please list chronic health problems, if any:
Release Waiver (Must be signed)
I hereby waive, release and discharge Alban classical, all agents and employees, from all liability and damages that may occur from taking part in the activity indicated in this agreement. I further agree in the event of injury while participating in said activities, to indemnify and hold harmless the organization, all employees and all contracted individuals, and its participants. I further understand that health insurance is not provided, and I must supply health coverage for self. I give my permission for treatment by a medical professional to be administered in the event of an emergency.