Please fill out and submit the form below. Once submitted a confirmation page will appear.
School Name:
Street Address:
City:
State: Zip Code:
Directors Name:
Phone Number:
E-mail Address:
Register the following groups (place a check in the box or boxes)
Non - Comp.or Middle School , Name of group
Class B Jazz Band (599 - less) Name of group
Class A Jazz Band (600 - 999) Name of group
Class AA Jazz Band (1000 - greater) Name of group
Combo , Name of group
Number of Big Bands w/Concert Tickets: X $225.00 =
Number of Combos w/Concert Tickets: X $225.00 =
Number of Big Bands: X $200.00 =
Number of Combos : X $200.00 =
Total Registraion Fees:
Mail Fees by Dec. 11, 2009 to: Jazz Festival - UWL Music Dept. - 1725 State St. - La Crosse, WI 54601
