ASPD INDIVIDUAL MEMBERSHIP 2003

NAME: ________________________________________ASPD # (if renewing):__________

ADDRESS: ____________________________________________________________________

         ____________________________________________________________________

         ____________________________________________________________________

POSTAL CODE: ________________________________________________________________

PHONE: (      ) _____________________________________________________________

FAX:   (      ) _____________________________________________________________

E-MAIL: _____________________________________________________________________

BIRTH DATE (juniors only): __________________________________________________

FEES FOR 2003:			     Once completed, send form and payment to:
	[ ] JUNIOR		$ 5  | Alberta Society of Pipers and Drummers
	[ ] ACTIVE		$15  | P.O. Box 1734
	[ ] ASSOCIATE		$10  | 246 Stewart Green SW
				     | Calgary, AB
INSTRUMENT, GRADE, OTHER	     | T3H 3C8

Please indicate the instruments you play, your competing grade in the first
column, and indicate in the second column any special information applicable
for that instrument. Use the following key for these entries:

	Grade:	one of	Professional (P), 1, 2, 3, 4, 5, Adult (A), 
		Beginner (B), Non-competing (N)
	Other:  any of Judge (J), Instructor (I), Available for hire (H),
		as appropriate.

BAGPIPES			Grade (circle one)	Other (circle 
							as appropriate)
[ ] Great Highland		[P,1,2,3,4,5,A,B,N]	[H,I,J]
[ ] Northumbrian		[P,1,2,3,4,5,A,B,N]	[H,I,J]
[ ] Uillean			[P,1,2,3,4,5,A,B,N]	[H,I,J]
[ ] Shuttle			[P,1,2,3,4,5,A,B,N]	[H,I,J]
[ ] Other: ___________________	[P,1,2,3,4,5,A,B,N]	[H,I,J]


DRUM				Grade (circle one)	Other (circle
							as appropriate)
[ ] Snare			[P,1,2,3,4,5,A,B,N]	[H,I,J]
[ ] Tenor			[P,1,2,3,4,5,A,B,N]	[H,I,J]
[ ] Bass			[P,1,2,3,4,5,A,B,N]	[H,I,J]
[ ] Mace (Senior/Junior)	[P,1,2,3,4,5,A,B,N]	[H,I,J]
[ ] Other: ___________________	[P,1,2,3,4,5,A,B,N]	[H,I,J]


By registering as a judge, instructor, or available for hire, I agree that my
name may be made available for public distribution.


Agreed: _____________________________________________________________________