The undersigned hereby applies for membership in Saint Brendan the Navigator Pipes and Drums, (hereafter referred to as The Band) and makes the following statements and has given the necessary information to induce and aid the band in accepting him or her for membership

Full Name:

Address:

City:

State: Zip:

Home Phone: Alternate Phone:

Email Address:

Do you now play an instrument? Pipes - Drums - Other - None

Do you own an instrument? Pipes - Drums - Other - None

Do you have any experience with a marching band? Yes No

If yes please explain:

Do you have any friends or family who are already members of the band? Yes No

If yes please list their name(s):

I hereby agree to abide by the rules and regulations of Saint Brendan the Navigator Pipes and Drums if accepted for membership. Yes No

Date:

Please note that considerable time, effort, and expense will be provided by the band to give you instruction and guidance necessary to become a competent Piper or Drummer. It is expected that once you are accepted as a member, you will return the time and effort with your participation in band functions.