District IX Jr. High Honor Band Registration Form

District IX Jr. High Honor Band
Registration Form

School: __________________________________________ Phone: __________________________

Director: _________________________________________ Email: ___________________________

Mail Form and Fees to: JoEllen Taylor, Madisonville Jr. High School, P.O. Box 850, Madisonville, LA 70447.
Check the District IX calendar for the registration deadline. ALL DEADLINES WILL BE ENFORCED and LATE CHARGES ADDED. For questions, please call Mrs. Taylor at 845-9038 (band room) from 8:30-9:25. Duplicate this form as needed.

Please Print Clearly or Type Duplicate form as needed

INSTRUMENT:	NAME: (Please check spelling as programs will be taken from this list.)
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Total Number of Entries _________ X $5.00 = __________ (Total Fee)

Certification: This is to certify that all students listed attend this school and meet all requirements for participation. Attach a photocopy of your current MENC/LMEA card.

Director's Signature ________________________________________________