2026 REG FORM | highlanderband

Student first name

Student last name

Student email

Student phone

Address

School (that you attend)

Band director's name

Please list the ensembles you are involved in at your school

Please list any honor ensembles or programs you have participated in (area/county band, region, all-state, etc.)

Do you take private lessons?

Yes

No

If yes, please list your private teacher

Parent/Guardian full name

Parent/Guardian email

Parent/Guardian phone number

Program tuition will be paid...

Via cash/check sent to WMBPA Po Box

Online payment option (link will be immediately provided at bottom of the page after form is submitted)