1. Healthcare

17th ANNUAL
CLARK TERRY/PHI MU ALPHA JAZZ FESTIVAL
REGISTRATION FORM
Friday, February 6, 2015 & Saturday, February 7, 2015
SCHOOL NAME
FIRST BAND ENTERED (NAME)
SECOND BAND ENTERED (NAME)
DIRECTOR(S)
DIRECTOR’S EMAIL
SCHOOL ADDRESS
CITY/STATE/ZIP
SCHOOL PHONE (
SCHOOL FAX (
)
)
DIRECTOR’S HOME PHONE (
)
DIRECTOR’S CELL PHONE (
)
We would like to participate on Friday, February 6.
We would like to participate on Saturday, February 7.
FEES: 1st band - $175
additional bands (or combos) - $150
PLEASE REMIT PAYMENT WITH YOUR APPLICATION
(Bands will not be scheduled until payment or purchase order is received)
*Feel free to duplicate this form if you have multiple entries!
•
Each band will be limited to 35 minutes total time, including performance, set-up and tear down time
and clinic time after the performance.
•
Please provide us with your set-up information by attaching a separate sheet.
•
Piano, drumset (no cymbals, no high hat), bass amp, guitar amp, chairs, music stands, risers, sound
system with microphones and electrical outlets will be provided for every band.
•
Bands will be scheduled in the order applications AND payment is received.
PLEASE RETURN THIS FORM WITH YOUR PAYMENT BY JANUARY 30, 2015:
PHI MU ALPHA JAZZ FESTIVAL
c/o Dr. Robert Conger
SOUTHEAST MISSOURI STATE UNIVERSITY
DEPARTMENT OF MUSIC MS7800
ONE UNIVERSITY PLAZA
CAPE GIRARDEAU, MO 63701
PHONE (573)-651-2398
FAX (573)-651-2431
EMAIL [email protected]
FOR MORE INFORMATION:
http://www.semo.edu/music/festivals.htm