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Jazz Festival Entry Form

Please register by October 25, 2013. You can register after this date, but the sooner, the better. Thanks!

Indicates a Required Field
School Name:
Ensemble:
Director's Name:
Director's Email:
School Address:
City:
State:
Zip:
Phone Number:
Instrumentation (Enter # of students) Bass Guitar:
Instrumentation (Enter # of students) Bb:
Instrumentation (Enter # of students) C Bass:
Instrumentation (Enter # of students) C Treble:
Instrumentation (Enter # of students) Drummer:
Instrumentation (Enter # of students) Eb:
Instrumentation (Enter # of students) Guitar:
Instrumentation (Enter # of students) Piano:
Evening Concert (# of reserved seats needed):
Choose one of the following options:
Clinic: $80/Band (workshop and concert included)
Workshop: $10 per student (concert included - $80/max per school)
Comments:
Verification Code:
Questions or comments? Please email us at info@iowalakes.edu or call 712-362-2604 or 800-521-5054.
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