Participant Registration Form

Parents or guardians of selected participants in the Catawba River Winds Middle School Honor Band Clinic should fill out this form.

Participant Information

Student Name(Required)

First Last

Student E-mail Address

Student Phone

Student Address(Required)

Street Address Address Line 2 City State ZIP Code

School(Required)

Grade(Required)

Instrument(Required)

T-Shirt Size(Required)

Please list any pertinent allergy, health, medications, or dietary restrictions for this student participant.(Required)

Please be specific and provide as much information as possible so we may provide the care and attention needed to your child if needed. If not applicable, type “None.”

Parent/Guardian Information

Please list at least one parent or guardian for this student participant.

Adult Name 1(Required)

First Last

Relation to Participant – Adult 1(Required)

Adult Email 1(Required)

Adult 1 Phone(Required)

Would you like to list an additional adult or guardian for this student?(Required)

Yes

Adult Name 2(Required)

First Last

Relation to Participant – Adult 2(Required)

Adult Email 2(Required)

Adult 2 Phone(Required)

Clinic Registration Fee

All participants will pay a $30, non-refundable registration fee to help offset the clinic’s costs.

2024 Honor Band Clinic Registration Fee

Price:

CC Processing Fee

Price:

Total

Credit Card

Please enter an e-mail address to receive a registration confirmation and online payment receipt.(Required)

Participant Information

Parent/Guardian Information

Clinic Registration Fee

You are donating to : CRW