Name *

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Which ensemble are you applying for? *

Select all that apply

Drum Corps

Indoor Percussion

Winter Guard

Winds

Authorization *

I authorize River City Rhythm to contact the references included in my resume.

Yes

No

Disclosures *

River City Rhythm takes the safety and wellbeing of our members and staff very seriously. With this in mind, is there anything you feel you should disclose to us at this time? Please note that discovery of nondisclosure may lead to immediate dismissal of consideration.

Yes

No

*

I certify that all statements provided above are true to the best of my knowledge, and understand that nondisclosure of relevant information may be cause for immediate termination.

Date *

MM

DD

YYYY