| Director First Name*: |
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| Director Last Name*: |
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| School Name*: |
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| School Address*: |
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| City*: |
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| State*: |
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| Zip*: |
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| Email*: |
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| School Phone*: |
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| School Fax: |
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| Director's Home (or mobile) Phone |
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| School or Music Dept. Web Address: |
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| Ensemble Name (for program)* |
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| Group Level*: |
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| Will you be bringing a combo at no extra charge?*: |
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| If YES to combo, Name of Combo (for program): |
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| If room allows, would you like to bring an additional ensemble? If yes, I will email you with more information.*: |
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| Performance Site Preference 1*: |
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| Performance Site Preference 2*: |
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| Performance Site Preference 3*: |
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| Number of Students in Ensemble*: |
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| Number of Jazz Ensembles in your school*: |
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| Number of Students Enrolled in School*: |
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| Number of Rehearsals Per Week*: |
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| Number of Times This Ensemble Has Participated in This Festival (may be different than the number of times YOU have participated)*: |
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| Appx Travel Time To Our Festival (in hours)*: |
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| Would You Like To Perform In The Director's Big Fat Band?* |
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| If Yes, What Is Your Instrument? |
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| Would You Like To Solo? |
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| Will You Be Attending The Evening Concert?* |
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| If Yes, How Many Reduced Price ($15) Tickets Will You Need? (number of students + reasonable number of chaperones + 1 director's comp) |
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| Number of Full Price ($25) Tickets (additional chaperones or parents, and non-performing students) |
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