EXPERIENCE“ALL-AMERICAN” MARCHING BAND

Are you ready to perform with the Purdue “All-American” Marching Band?Don’t miss this opportunity to get an authentic game day experience!

JUNIOR BAND MEMBER

SATURDAY, SEPTEMBER 26, 2015

KIDS IN GRADES K-8

“ALL-AMERICAN” MARCHING BAND

EXPERIENCE

PERFORM WITH THE BAND

JUNIOR MEMBERS ENJOY THESE GREAT BENEFITS• Exclusive “All-American” Marching Junior Band Member T-Shirt

• March to Ross-Ade Stadium with the Band

• Sit and Cheer with the Band, Twirlers and Goldusters at the Football Game

• Perform During Halftime with the Band

• Experiment with Instruments, Batons or Poms at Rehearsal

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Have Your Photo Taken with the Big Bass Drum

Meet and Greet Student Leaders including Twirlers, Goldusters, Drum Majors, and Instrumentalists

• Autographed Picture of the Twirlers

• Premium Seating at the 211 Pep Rally

REGISTRATION ONLY $40 PER PERSON NO EXPERIENCE REQUIRED

All “All-American” Marching Band Junior Members must be in grades K-8.

Spots are limited to the first 50 registrants. Sign up today!

Junior Band Member Name:_______________________________________________

Address: __________________________________________________________

City: _________________________________ State: ________ Zip: _____________

Phone Number: ______________________________________________________

Email (for Experience communications): ________________________________________

Member’s Birthdate: _______ / ________ / ____________ Grade (fall ‘15): ____________

T-shirt Size: Youth OR Adult Size? Small Medium Large X-Large

Emergency Contact Information (For day of event):

Name of First Contact: ___________________________________________________

Relationship to Junior Band Member: __________________________________________

Emergency Contact Phone Number: ___________________________________________

Name of Second Contact: _________________________________________________

Relationship to Junior Band Member: __________________________________________

Emergency Contact Phone Number: ___________________________________________

By enrolling in this experience, members’ parents provide authorization for photos and videos to be used by Purdue University for publicity and educational purposes. If you do not consent to photographs or video, please submit your request in writing attached to this registration form.

Purdue University Medical Authorization for Treatment of a Minor (persons under 18 years): Pursuant to Indiana Code Paragraph 16-36-1-6, I request and authorize the Purdue University Student Health Center, Purdue University Ambulance Service, Franciscan Saint Elizabeth Health - Lafayette East, and Indiana University Health Arnett, medical personnel, agents, and employees to provide all reasonably necessary medical care, including but not limited to medical transport, hospital tests, such as pathology, radiology, anesthesia, surgery, and prescription drugs advisable for the health of my child. I acknowledge that no representations, warranties, or guarantees as to results or cures will be made.

___________________________________________ Date __________________Parent / legal guardian signature is required. EA/EO

Mail with check payment made to Purdue University for $40 per person to Purdue Bands, 712 Third Street, West Lafayette, IN 47907. Questions? Please contact Jaclyn Heinz at heinzj@purdue.edu

“A MARCHING BAND JUNIOR BAND MEMBER REGISTRATION FORM

REGISTRATION DEADLINE SEPTEMBER 4, 2015

Interested In: Instrumental Twirling Dancing*If you have selected twirling above, will you be bringing batons? Yes No

EXPERIENCE FOOTBALLGAME DAY LIKE NEVER BEFORE

“ALL-AMERICAN” MARCHING BAND JUNIOR BAND MEMBERGAME DAY EXPERIENCE AGENDASATURDAY, SEPTEMBER 26, 2015

7:30 am Registration and Check-in at Field

8:00 am 9:30 am 9:45 am 10:30 am 11:30 am 1:30 pm 2:00 pm

Instrument, Baton or Dance InstructionMarching and Drill PracticeMarch to Elliott Hall of Music with the Band Breakfast Tailgate with Marching Band Members March to Mackey Arena for the 211 Pep Rally Seating in Ross Ade Stadium Band Cheering Section

Perform in Band’s Halftime ShowChildren Dismissed after Halftime Performance