WINDI

Name ^*

Region ^*

Genre^*

Class type ^*

Username ^*

Password ^*

Password confirmation ^*

Street address 1 ^*

Street address 2 ^*

City ^*

State ^*

Zip code ^*

Website url ^*

Primary Contact

Primary contact type ^*

e.g.: Band Director, Coach, etc.

Primary contact name ^*

Primary contact email ^*

Primary contact phone ^*

Secondary Contact 1

Secondary contact 1 type ^*

e.g.: Treasurer, Booster, etc.

Secondary contact 1 name ^*

Secondary contact 1 email ^*

Secondary contact 1 phone ^*

Secondary Contact 2

Secondary contact 2 type

e.g.: Treasurer, Booster, etc.

Secondary contact 2 name

Secondary contact 2 email

Secondary contact 2 phone

^* Fields marked with an asterisk are required

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