Surname.....................................................

Christian Names....................................................................

Band currently or previously registered with...............................................................

Year of last registration............... Date of Birth…./…/……(juniors only)

Players Signature...................................................... Date..../......../..........

A) To the Secretary

Tasmanian Bands League

Dear Secretary

I hereby make application to register the above mentioned person as

PLAYER / CONDUCTOR/ / DRUM MAJOR with

the..................................................................................... Band.

Band Secretary’s Signature................................................. Date..../..../......

B) To be completed where a transfer of registration is required.

The committee of the............................................................ Band

hereby grant / refuse a clearance to the above mentioned player as from the

Date ..../.../.....

Band Secretary’s Signature................................................ Date .../.../.....

PLEASE NOTE: This application for registration must be completed, in every detail, by the band applying for registration and the band granting a clearance (if applicable).

FOR OFFICE USE ONLY DATE RECEIVED..../..../......