Blaine Jazz Festival Registration Form

	:: Blaine Jazz Festival :: :: 2010 Registration Form :: Festival Dates: July 11 - July 17, 2010 Festival Cost: ¯ Tuition in full $300 ¯ Lessons (1/2 hour) $25 each with a maximum of 2 lessons ¯ Room and Board $350 (includes sack lunches) ¯ Optional lunches for commuters only $55

Date:	7/29/2010
Student's First Name:
Student's Last Name:
Father's First Name:
Father's Last Name:
Mother's First Name:
Mother's Last Name:
Address:
City:
State:
Zip:
Phone:
E-mail:
Age:
Gender:
Returning Student?
T-shirt size?
What would you like to study? Read *NOTE*
Primary Instrument:
# of Lessons desired:
Secondary Instrument:
# of Lessons desired:
Room and board required?
Meals for commuters?	(optional)

(Please hit submit button only once. Thanks!)
Total
How much do you want to pay now? Entire Amount Minimum deposit of $50.00
PAYMENT METHOD: Credit Card I have applied for a scholarship I'm mailing my check to: Pacific Arts Association P.O. Box 434, Blaine, WA 98231-0434 To the attention of Jazz Festival

*NOTE* As part of the Festival Finale all students and faculty will be playing Sing, Sing, Sing. Please click on the link here to download your part for this. This will also be one of the pieces used for auditioning.

CONTACTS:

Blaine Jazz Festival contact lsconrad@comcast.net

:: Blaine Jazz Festival :::: 2010 Registration Form ::