Platinum Drum & Bugle Corps Registration Form

* First Name

* Last Name

* Street Address

Address Line 2

* City

* State

* Zip Code

* Phone Number

* Mobile Number:

* Email Address

* Date of Birth (MM/DD/YYYY):

* School Name:

* What Section? (Brass/ Percussion/ Guard)

Brass

Percussion

Guard

Other

* Is there any other section/ intrument you would consider if your first choice is not available?

Brass

Percussion

Guard

Other

* Are you a returning Platinum Member?

Yes

No

* Indicates Response Required

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