Panther Marching Band Member For a Day Registration

High school band students in grades 9-12 can spend an 宅男研究所 Gameday participating as a Member for. Day. There is no charge for registration and lunch will be provided free of charge.

Name Name First Last
Address
Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone # Phone # - ### - ### ####
Student's Email (DO NOT USE A SCHOOL E-MAIL ADDRESS AS YOUR SCHOOL'S SECURITY SETTINGS WILL NOT ALLOW US TO E-MAIL YOU AT YOUR SCHOOL!)
Is the e-mail you entered a school-based e-mail address or your or a parental e-mail address? If school e-mail, please go back to the previous question and enter a personal e-mail address.

Is the e-mail you entered a school-based e-mail address or your or a parental e-mail address? If school e-mail, please go back to the previous question and enter a personal e-mail address. School E-mail (please read the notes above) Personal E-mail Address
High School
Year in School

Year in School Sophomore (10) Junior (11) Senior (12) Freshman (9) Sorry this is out of order!
Instrument
Extra Game Tickets Needed - Participants do not need a ticket.

For planning purposes, please let us know how many friends and family members will be in attendance.

Please note that entering this information will NOT order tickets for you!