LumbertonHigh School
Band Day
Registration Form – 2013
Saturday October 26, 2013
2:00 p.m.
Name of Band______
Name of School ______
School Mascot______
School Colors______
How Many Years have you attended Lumberton Band Day? ______
School Main Office Phone______
Principal’s Name______
CountyArts Supervisor Name______
Band Director Name(s)______
Assistant Band Director Name(s)______
Address ______
City ______
State ______Zip ______
Office Phone______Your Cell Number______
Fax Number ______
Staff Instructor Name(s) ______
Percussion Instructor Name(s) ______
Color Guard Instructor Name(s) ______
Booster President Name (s) ______
Booster President Phone ______
Vice-President______
Secretary______
Treasurer______
Numbers in Band:
Winds#______Guard#______
Marching Percussion (Battery) #______
(Front Ensemble) Pit #______
Drum Major(s)______Majorette(s)_____Manager(s) ______
Equipment:
Will you be using our Drum Major Podium?
It is six feet high and is 60 X 60 inches
Circle one: YES NO
Will you be using some of our Pit Equipment? YES NO
PLEASE BE ADVISED THAT NO MALLETS WILL BE PROVIDED FOR YOUR BAND TO USE ON CONTEST DAY. YOU MUST BRING YOUR OWN MALLETS AND AUXILARY PERCUSSION INSTRUMENTS.
Circle ourPit Instruments you would like to use for your performance:
Bells w/stand / Xylophone 2 ½ Octaves / Concert Bass Drum (36 inches)
Marimba 3 ½ Octaves / Chimes 1 ½ Octaves / Gong w/stand
Self Tuning Timpani (4 each) / Crash Cymbals (24 inch) w/stand
PLEASE BE ADVISED THAT NO MALLETS WILL BE PROVIDED FOR YOUR BAND TO USE ON CONTEST DAY. YOU MUST BRING YOUR OWN MALLETS AND AUXILARY PERCUSSION INSTRUMENTS.
Drum Major Name(s)______
Band Captain Name(s) ______
______
______
How many Buses will you be bringing?______
Ryder type Trucks? ______Tractor Trailer?______
Regular pull Trailers? ______Size?______
Will you need assistance to move your pit equipment to the stadium?
How many flat-beds for your band will be needed?______
Please Note: Regular vehicles will not be allowed to park with the band buses or trucks in their parking lot. Also, please be aware that we can not move your pit equipment to the warm up area. Thank you for your cooperation.
The Registration Fee is : $100.00
Deadline for Registration Materials and Fee is
October 14, 2013 before the close of day.
-I will submit my Registration Form online.
-I will be using Pay Pal
-I will submit my registration form online, and I send will send my fees in the U.S. Mail to Mr. Harvey, Contest Chairman.
-I will be send my Registration Fee and/or form to:
Mr. Laurence Harvey, Director of Bands/Contest Chairman
LumbertonHigh School
3901 Fayetteville RoadLumberton, North Carolina28358
Please make Checks or Money Orders payable to: Pirate Band Fans, Inc.