SWC: Marching Band Directors Workshops Enrollment Form

SMITH WALBRIDGE
DIRECTOR WORKSHOPS ENROLLMENT FORM

HOW TO ENROLL
To register, the following application form can be completed and submitted online by pressing the "Submit Form" button on the bottom of page, or it can be printed and mailed to the address below. You may select one or more workshops to attend as long as the dates do not coincide. DISCOUNTS will be applied only at registration. To complete the application process, you may pay by credit card as instructed below, or mail in a check. Minimum deposit is $75.00, or you may choose to pay a larger amount. (Make checks payable to: Smith Walbridge Clinics), which will be deducted from the total fee to:

Smith Walbridge Clinics
P.O. Box 748
Savoy, IL 61874.

A PDF print version is available for download. CLICK HERE and print as many copies as you need. You may also fill the PDF fields out and then print the document. Fill out and mail in your form with payment. Adobe Acrobat Reader is required to open form. You can download it for free below.

For optional credit card payments, fill out the fields located at the bottom of this form.

We respect your privacy. All your information will remain confidential and not be sold or shared with any third party entities.

* Indicates required fields

First Name: *
Last Name: *
Classification: *	Director Sponsor
Age:
Gender: *	Male Female
Home Telephone: *
Home Address: *
City: *
State: *
Zip: *
School Name: *
School Phone: *
School Address: *
City: *
State: *
Zip: *
Tuition paid by: *
Roommate name: (one only) *	prefer no roommate, $50 extra charge
E-mail Address (for SWC only): *

MARCHING BAND METHODS WORKSHOP: July 6-9, 2010

Choose Rate
$320.00: Resident
$220.00: Commuter

Discount Rates
$160.00: Half price Resident for those sending 10-19 students to any combination of our clinics
Free Resident: for those sending 20 or more students to any combination of our clinics
$110.00: Half price Commuter for those sending 10-19 students to any combination of our clinics
Free Commuter: for those sending 20 or more students to any combination of our clinics

+ Residential fees include: Instruction, housing and all meals
+ Commuter fees include: Instruction, lunch and dinner

DRILL DESIGN WORKSHOP: July 6-9, 2010

OPTIONAL COLLEGE CREDIT / CPDU UNITS: Applies for Drill Design OR Marching Band Methods Workshops

Choose Rate: (only ONE)
$595.00: optional 2 Graduate credits by EIU for MUS 4980
$40.00: optional 6 Continuing Education Units (= 30 CPDU credits) for Illinois teachers

Optional Credit Card Payment

If you select this payment option
you will receive a PAYPAL invoice in your e-mail during our business hours.
This will allow you to security pay online with your credit card.
A minimum of $75 deposit is required. Please specify amount you want to pay here:

E-mail address to send bill to
Amount to charge $

Note: You do not need to establish a Paypal account to make payment.

Type comments and questions into the area below:

How did you hear about us?
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Follow Up Information
If you have not received our follow up information within two weeks after submitting application, please contact us.
Refund Policy
Refunds (minus a $25.00 service fee) will be issued to those who cancel within 24 hours prior to clinic. There are no refunds for participants who leave early from the clinic.
Phone: (217) 352-4262	Fax: (866) 401-4406	E-mail: swclinics@swclinics.com
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