ADVENTURES WITH MR. BANDMAN

Mr. Bandman Registration and Contact Form

Filling this form out will position your students to take advantage of this Matching Grant equal to $100,000.00 (First come, first served. This matching grant is only available to band directors.) This Internet Practice and Lesson Program gives your students access 24 hours a day, 7 days a week. * This form is for Band Directors, Principals, and District Fine Arts Directors.

	* Required Fields
Date:	11/18/08
First Name:	*
Last Name:	*
How many beginners?	Last Year Next Year
Band Director:	(please choose) *
	Elementary Jr. High High School
	Principal or Fine Arts Director
	Your Fine Arts Director and District:
School:	*
Address:	*
City:	*
State:	*
Zip:	*
School Phone:	*
Cell Phone:
Email:	*
School Email: