12th Annual NYSBDA Region 1 Workshop Registration Form

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Hosted by Williamsville East High School on October 17, 2024.

Email Address to send Workshop Correspondences *

First Name *

Last Name *

Phone Number *

School District/University/Organization you are associated with/representing. *

What grade level(s) do you teach? *

Elementary/Beginning Band

Middle School

High School

College/University

Currently a student, subbing and/or seeking employment

Other:

Required

What is your PRIMARY Instrument that you can play in the Director's Band? (You may select secondaries in the next question.)

What are your secondary instruments that you are willing to play if we need something else covered? (You will know before the workshop if we need to you help cover something.)

Piccolo

Flute

Oboe

Clarinet

Bass Clarinet

Bassoon

Alto Sax

Tenor Sax

Bari Sax

French Horn

Trumpet

Trombone

Euphonium

Tuba

Percussion

Other:

Will you be requesting CTLE/PD Hours? (Maximum of 6 hours can be earned) *

Yes

Membership and Workshop Payment Options (the workshop includes Morning Refreshments and Lunch) *

$60 - Present NYSBDA Member Workshop Package Only

$90 - Non-NYSBDA Member Workshop Package Only

$40 - College Student NYSBDA Membership Workshop Package Only

$120 - NYSBDA New/Renewal Membership & Workshop Package - Best Value!

I am a Presenter ($0)

Dietary concerns we need know about? (ie. gluten free, nuts, etc.)

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