Registration Form 2012

By Jeff Sydelko - Posted on 14 December 2006

2012 Beavercreek Weekend of Jazz Registration Form

*Please note that by submitting this form you are committing to the $125 entry fee.

You will receive an automatic confirmation of this entry followed by a personal email confirming your performance time.
We are limited to 16 performing bands, all registrations are processed in the order received.
We reserve the right to limit the number of bands participating from any one school district.

Questions? Email: director@weekendofjazz.org

School: *

Band Name: *

Director: *

Address

Address: *

Address Line 2:

City: *

State: *

ZipCode: *

Contact Information

Director's Phone # (Daytime): *

Director's Phone # (Evening):

Director's Phone # (Mobile):

Email Address:

Total number of band members: *

Total number of band directors: *

Parking Plan Information

INFORMATION REQUIRED for PARKING PLAN:

Number of Busses: *

Number of Trucks: *

Type of Truck: *

(NOTE: It is each band's responsibility to transport their equipment between buses/trucks and the auditorium)

Band Boosters/ Parents Contact

Contact Name:

Phone #:

Email address:

Additional Information/ Comments:

Use this area for any special requests