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Online Contact Form

Please complete this form and someone from our office will contact you to tell you about the bands and how you can join us.

Name:
 		Social Security # (Identification)
Mailing Address:

City:

State: Zip:

Sex:

Phone:

E-mail address:

I have applied for admission to Oregon State Next fall I will be a university
I have been accepted for admission to Oregon State Major field of Study:
Primary Instrument:
 		Secondary Instument:
I intend to participate in:
Marching Band
 Athletic Pep Bands
 Color Guard
Dance Team
Concert Bands
 Jazz Ensembles 		I am interested in scholarships
High School attended:

Year graduated:

Community college attended (if applicable):

Year graduated:

Comments:

Thank you