Name
:
Date of Birth (if under 18)
Student for Tuition
Playing Member
Instrument (Select one)
Pipes
Side Drum
Tenor Drum
Bass Drum
Choose One
Address:
City:
County
Postcode
Home Telephone
Mobile Tel.
Email:
If Transferring - Name of previous band
RSPBA Number
Name of Parent/Guardian (if app under 18)
(C.O.L.P.A.D.)
ONLINE MEMBERSHIP APPLICATION FORM
