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Colorado Bandmasters Association 2017 Copyright Report Form
Completed form MUST be returned with CBA State Entry Form in order for your entry to be accepted. Proof of permission/license to arrange and proof of permission to perform (PTP) must be provided if you are using custom arrangements, have modified published arrangements or original compositions.

NOTE: Each custom arrangement listed must be supported by proof of permission to arrange, including music included in a pre-show segment. All original compositions must include proof of permission to perform from the composer. All licenses are due no later than 30 days prior to your first event performance. Please photocopy form if additional selections must be added. FAILURE TO SUBMIT THIS FORM ALONG WITH COPYRIGHT CLEARANCE DOCUMENTATION, PERMISSION TO PERFORM, ETC. WILL RESULT IN THE BAND NOT BEING ALLOWED TO PERFORM AT ANY CBA SANCTIONED EVENT.

NOTE: Please use the actual names of the songs you are performing.

School
Your answer
Director Name
Your answer
Compositions
Fill in the information below for each composition/arrangement.
Name of Composition 1
Your answer
Public Domain?
Stock arrangement?
Composer
Your answer
Copyright Owner
Your answer
Arranger
Your answer
Arranger's Email
Your answer
If Custom Arrangement, do you have copyright clearance?
Name of Composition 2
If none, enter N/A.
Your answer
Public Domain?
Stock arrangement?
Composer
If none, enter N/A.
Your answer
Copyright Owner
If none, enter N/A.
Your answer
Arranger
If none, enter N/A.
Your answer
Arranger's Email
If none, enter N/A.
Your answer
If Custom Arrangement, do you have copyright clearance?
Name of Composition 3
If none, enter N/A.
Your answer
Public Domain?
Stock arrangement?
Composer
If none, enter N/A.
Your answer
Copyright Owner
If none, enter N/A.
Your answer
Arranger
If none, enter N/A.
Your answer
Arranger's Email
If none, enter N/A.
Your answer
If Custom Arrangement, do you have copyright clearance?
Name of Composition 4
If none, enter N/A.
Your answer
Public Domain?
Stock arrangement?
Composer
If none, enter N/A.
Your answer
Copyright Owner
If none, enter N/A.
Your answer
Arranger
If none, enter N/A.
Your answer
Arranger's Email
If none, enter N/A.
Your answer
If Custom Arrangement, do you have copyright clearance?
Name of Composition 5
If none, enter N/A.
Your answer
Public Domain?
Stock arrangement?
Composer
If none, enter N/A.
Your answer
Copyright Owner
If none, enter N/A.
Your answer
Arranger
If none, enter N/A.
Your answer
Arranger's Email
If none, enter N/A.
Your answer
If Custom Arrangement, do you have copyright clearance?
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