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Contact Form

Provide Name, primary Email and phone number.

Fill out a new contact form for each parent.

If you would like to print and fill out form, you can find the PDF Here.

Additional Interest (check all that apply)

Student Info

Relationship to Band Program
Parent of Current Student
Other

Booster Membership

Booster Membership Level (select 1)
Standard
Family Patron ($25)
White Patron ($50)*
Green Patron ($100)*
Gold Patron ($250)*
Platinum Patron ($500)*

*Patron memberships get more benefits such as tickets to events. You can review member benefits here.

If purchasing a Patron Membership, how will you be paying?
Check
Venmo
PayPal

CENTRAL DAUPHIN 
BAND BOOSTERS

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© 2021 Central Dauphin Band Boosters Association   

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RESILIENCY - ACCEPTANCE - MOTIVATION - STRENGTH

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