2021 All-State Jazz Clinic Registration Form
Sunday, September 19 from 4:30-6:00pm at Millikin University for all woodwind, brass, and rhythm section players.

These FREE clinics taught by Millikin's applied instrumental faculty members will help you prepare for and succeed in this year's All-State jazz auditions! To sign up, simply complete and submit this form, then keep an eye on your email for detailed information.

Contact David moore at dmmoore@millikin.edu with any questions.
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First Name *
Last Name *
Student Email *
Student Phone Number
Parent/Guardian Name (First Last) *
Parent/Guardian Email Address *
Parent/Guardian Phone Number (Emergency Contact) *
Instrument *
Grade *
Required
School *
School Band Director *
Years of Study on Primary Instrument *
Private Lesson Instructor
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