Conducting Symposium Form

Payment for participants is due upon arrival at the symposium.

Name Name First Last
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Email
Phone Phone - ### - ### ####
I am interested in participating as (check each area of interest):

I am interested in participating as (check each area of interest): Conducting Fellow - $120 Adult Observer/Clinic Band (1 Day) - $40 Adult Observer/Clinic Band (2 Days) - $60 High School Observer/Clinic Band (1 Day) - $10 High School Observer/Clinic Band (2 Days) - $20
Instrument (If playing with the Clinic Band):