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2009 All-Region Trumpet Boot Camp Registration

Thank you for registering for this year's All-Region Trumpet Boot Camp. Please complete the form below and click "submit" at the bottom of the page.  Receipt of your registration form will be confirmed using the email address you provide in this form.

  1. Details of Applicant:

    First Name
    Last Name
    Date of Birth Age
    Sex Male Female

  2. Grade

    9th Grade
    10th Grade
    11th Grade
    12th Grade

  3. School:

  4. Email Address:

  5. Have you ever made the All-Region Band before?

    If you answered "yes" to question 5, please tell us what year(s) you were part of the All-Region Band:

  6. Details of Parent or Guardian:

    First Name
    Last Name
    Title
    Street Address
    Address (cont.)
    City
    State/Province
    Zip/Postal Code
    Country
    Work Phone
    Home Phone
    E-mail
    Home Page (optional)

  7. Referral:
    We are always interested in learning where people hear about our special events.  We would really appreciate if you would write a short description of where you heard about this boot camp in the space provided:
Consort Immanuel.
Copyright © 2008 Consort Immanuel. All rights reserved.
Revised: July 20, 2009