Band Directors Workshops

INFORMATION

First Name: Middle Initial: Last Name:
Mailing Address:
City: State: ZIP:
Home Phone (include Area Code):
Email:

EMPLOYMENT INFORMATION

Are you currently teaching? (choose one) Yes No
If yes, where:
Are you an SHSU alumni? (choose one) Yes No
When did you graduate?:

WORKSHOP REGISTRATION

Workshop #1:

June 8-11, 2009

Teaching Beginning Band Instruments

Workshop #2:

June, 22-25, 2009

Teaching the Middle School Band

Choose only one of the following three camps:

Workshop #3:

June, 15-18, 2009

Teaching the High School Band

OR

Workshop #4:

June, 15-18, 2009

New Teacher Workshop

OR

Workshop #5:

June, 15-18, 2009

Teaching Jazz & Improvisation

Total Amount Due:

$270.00 (one workshop)
$430.00 (two workshops)
$580.00 (three workshops)

SHSU Alumni Discount Prices:

$135.00 (one workshop)
$215.00 (two workshops)
$290.00 (three workshops)

PAYMENT INFORMATION

1) Payment is due upon registration.

2) Refunds: Full-refunds will be made up to 7-days before the workshop begins.

3) After submitting this form, you will be sent to a page from which a credit card payment will be accepted.

Name of person paying:
Phone Number of Payee (REQUIRED in the event of refund)

Sam Houston State University
School of Music (Band Director Workshops)
P.O. Box 2208, Huntsville, Texas 77341-2208
(936) 294-1360

Return email address: (place your email address here)

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