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REGISTRATION FORM FOR
BANDS** **FORM MUST BE RETURNED TO REGAN McLAUGHLIN
(address at bottom of page) BY SEPTEMBER 8 TO GUARANTEE THE BAND’S NAME BE PRINTED ON
THE T-SHIRTS! Name of Band: _____________________________ Band Members: (use
another sheet if needed) Name:
Phone
Number:
Instrument:
Street
Address, City, State, Zip: 1.
______________________
___________________
__________________
__________________________ 2.
______________________ ___________________
__________________
__________________________ 3.
______________________
___________________
__________________
__________________________ 4.
______________________
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__________________ __________________________ 5.
______________________
___________________
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__________________________ 6.
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__________________________ Primary Contact: Name: _________________________________
Email: __________________________________
Address:
________________________________________________________ City, State, ZIP:
___________________________________________________ Home phone:
____________________ Cell phone: _______________________ FAX:
___________________________ Style of Music: _______________ A full drum set (without
cymbals), amplifiers, microphones, and p. a. system will be provided. Musicians
need only bring their instruments. If your drummer prefers to use
his/her own drum set, please indicate by checking here _____ so that we can
schedule accordingly. As this is a
family oriented fund-raiser, all participants must agree that their lyrics,
attire, and behavior will be PG rated or less. Bands need arrive at the
Kena Ballroom ( The audience will do the
judging. Each band will have a container for the patrons to add money
to. The band which raises the most money (all proceeds going to the
Leukemia & Lymphoma Society) will be the winner. Be sure to
encourage your friends and family to come support your band and this
worthy cause! Bands are welcome to sell
their own CD’s and other promotional items at this event. We would appreciate
for $1 from each sale made to go to the Leukemia & Lymphoma Society. All band members must
sign below in recognition of this agreement: _____________________________
______________________________
______________________________ ______________________________
______________________________
______________________________ Questions & Completed
forms sent to Email: youngheartsltn@gmail.com fax: 703-280-4344 “Snail”
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