Fine Arts Academy - James D. Randolph Kiltie Band

Name of Student Name of Student First Last
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Email
Phone Phone - ### - ### ####
The student is a/an:

The student is a/an: Adult Student (Grades 9-12) Student (Grades K-8)
Name of Parent/Guardian (if under 18) Name of Parent/Guardian (if under 18) First Last
Age of Student (if under 18)
Are you interested in joining as a bagpiper, drummer, or both?

Are you interested in joining as a bagpiper, drummer, or both? Bagpiper Drummer Both Unsure
Do you have prior experience playing the bagpipes and/or drums?

Do you have prior experience playing the bagpipes and/or drums? YES - Bagpipes YES - Drums YES - Both NO - Neither
If you answered YES to having prior experience playing the bagpipes and/or drums, please provide any additional details you can (years of experience, tunes learned, groups you've played with, etc.):
Do you already own any of the following instruments and/or equipment? (check all that apply)

Do you already own any of the following instruments and/or equipment? (check all that apply) Bagpipes Practice Chanter Snare Sticks Practice Pad None of the Above