All-State Band - Room Request Form

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DEADLINE: December 11, 2018

Roommate requests will be filled on a first-come, first-served basis. If you do not submit a request, OR miss the form submission deadline, a room will be assigned to you.
1. No more than four (4) persons will be assigned to a room.
2. Members of the All-State Band, Jazz Band, Orchestra, and Choir will be kept separate.
3. Changes in roommates will not be made at Tan-Tar-A.

Direct all questions regarding this form to Ken Hansen (All-State Band Coordinator) - khansen@bssd.net

All-State Member's LAST NAME: *

All-State Member's FIRST NAME *

All-State Member's Instrument *

Please indicate your All-State Instrument Assignment (i.e. 4th chair clarinet)

All-State Member's School *

All-State Member's Gender *

2. LAST NAME: Roommate Request (2nd person in room.)

FIRST NAME: Roommate Request (2nd person in room.)

Gender: Roommate Request (2nd person in room.)

Choose One

School: Roommate Request (2nd person in room.)

3. LAST NAME: Roommate Request (3rd person in room.)

FIRST NAME: Roommate Request (3rd person in room.)

Gender: Roommate Request (3rd person in room.)

Choose One

School: Roommate Request (3rd person in room.)

4. LAST NAME: Roommate Request (4th person in room.)

FIRST NAME: Roommate Request (4th person in room.)

Gender: Roommate Request (4th person in room.)

Choose One

School: Roommate Request (4th person in room.)

Submit

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