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MHCB Member Status Change Form

Member Name: *
Address: *
Zip Code: *
Home Phone: *
Work Phone:
Cell Phone: *
Member E-mail: *


Guardian Name:
Guardians Address:
Guardian Zip Code:
Guardian Home Phone:
Guardian Cell Phone:
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What Band Do You or Want To Participate In? *
Instruments You Play: *
Electronic Signature: *
Parent/guardian Signature (if under age 18)
Check One: *
Date Change to be Effective: *

*Sorry to See You Go.   !Welcome Back

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We encourage families to join, with parents and children learning and playing together.

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About The Band

The Denver Junior Police Band (dba Mile High Community Band) is an affirmative action/equal opportunity organization and does not discriminate against any person or organization based on age, race, sex, color, creed, religion, national origin, sexual orientation, transgender status, gender identity, gender expression, ancestry, marital status, gender, veteran status, military status, political service, affiliation, or disability.

MHCB, photo by Tera Seville