ALL-STATE BAND CLINIC

Registration / Cancellation Form

This form must be FAX’ed to Joe Meshach at (843-538-8151) by Friday, February 16, 2007.

    (Please Check one)                                                                                         Director’s Signature ______________________________

     Will         Won’t                                                            

    Attend      Attend     NAME                                                   LEVEL      INSTRUMENT                    SCHOOL

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(You may copy this form as needed.)