Date:
-
Month
-
Day
Year
at
/
Hour
Minutes
AM
PM
Name:
*
School Name
*
E-mail:
*
Phone:
*
Mailing Address
*
Which of the following describes you best?
*
Band Director (High School)
Color Guard Instructor
Percussion Instructor
Marching Band Staff Member
Other
Which of the following would you like to register for:
*
Innovative Ideas Clinic
3 Nights at the Westin
DCI Tickets for Friday and Saturday Nights
I will share a room with another clinic attendee. His or Her Name is:
Additional Comments:
After filling out this form you will be taken to a link to make your down payment so you can be sure to reserve your spot.
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