First Name:            Last Name:            Grad Yr:   

Address:   

Email Address:            Phone #:   

Are you available to play in a Ridley Alumni Band concert to be held on June 14th, 2008?  Yes No

Are you available to attend any or all of the scheduled rehearsals?  Yes No

Do you live too far away to attend the rehearsals?  Yes No

If Yes, would you travel to play at the concert if charts were mailed to you to practice at home?  Yes No

Please list the instruments you would like to play, whether you own an instrument and your level of playing skill (1 = Beginner to 5 = Advanced).

Instrument 1:      Do you own an instrument?  Yes No     Skill Level:  1  2  3  4  5

Instrument 2:      Do you own an instrument?  Yes No     Skill Level:  1  2  3  4  5

Instrument 3:      Do you own an instrument?  Yes No     Skill Level:  1  2  3  4  5

Additional Instruments, Comments, or Suggestions: