After Hours Community Band
Web Site Information
www.ahcb.org

  
Information that you provide on this form will be posted on the AHCB web site to provide a list of band members.  Please leave blank any information that you do not want included on the web site.

Name ________________________________________________________________________
		first					last

Instrument ____________________________________________________________________

Occupation ___________________________________________________________________

E-mail  address: _______________________________________________________________

Band member since _________________
				year

________________________________________________________	__________________
				signature						date

________________________________________________________	__________________
	Parent/guardian signature (if under 18 years of age)				date

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Please return this form to Bill Sanders
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