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Asteria Winds Membership Interest Form
Please complete the following form to provide Asteria with important information. We recognize this may be sensitive information and will ensure the utmost care and security in keeping your personal information private.
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Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Home Address
*
Your answer
Home Address Line 2
Your answer
City
*
Your answer
State
*
Choose
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
ZIP Code
*
Your answer
Cell Phone #
*
Your answer
In Which Section Are You Interested?
*
Choose
Winds
Rhythm Section (Electronics, Synthesizer, Drum Set, Bass)
Visual/Movement Ensemble
If You Are Interested In Winds, In Which Specific Instrument Are You Most Interested?
Flute
Clarinet
Alto-Saxophone
Tenor-Saxophone
Baritone-Saxophone
Trumpet
Mellophone
Baritone/Euphonium
Tuba
Other:
If You Are Interested In Percussion, In Which Specific Instrument Are You Most Interested?
Synthesizer/Electronics
Drum Set
Auxiliary Percussion
Bass
Guitar
Marimba, Xylophone, or any Mallet Keyboard Instrument
Other:
If You Are Interested In Visual/Movement Ensemble, What Specific Skills Do You Have?
Flag
Rifle
Sabre
Dance/Movement
Tell us about any other ensembles you've performed in. Include marching band, drum corps, percussion ensemble, winter guard, winter drumline, orchestra, gymnastics or dance training, and anything else you think might be applicable.
Your answer
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