2017 CDBA HS MPA West Registration
Please complete the information below in order to register for the NC CDBA 2017 High School MPA West at Asheboro HS. Upon completion, please print a copy BEFORE hitting submit, sign, and mail with your check for $175 made to "Central District Band Association" to:

Phil Homiller, HS MPA West Chair
Asheboro High School
1221 South Park Street
Asheboro, NC 27203


THIS FORM MUST BE SUBMITTED WITH PAYMENT POSTMARKED BY FEBRUARY 20, 2017.


I CERTIFY THAT I HAVE CAREFULLY READ THE NCMEA FESTIVAL RULES TO APPEAR IN THE STATE CONTEST-FESTIVAL AND WILL BE GUIDED THEREBY.


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BAND DIRECTOR SIGNATURE

I CERTIFY THAT ALL STUDENTS ENROLLED FROM THIS SCHOOL TO APPEAR IN THE STATE CONTEST-FESTIVAL ARE ELIGIBLE ACCORDING TO THE REGULATIONS OF ELIGIBILTY.


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SCHOOL PRINCIPAL SIGNATURE

* Required

School Name *
Ex: Asheboro High School
Your answer
Ensemble Name *
Ex: Concert Band
Your answer
Expected grade level of music to be performed *
(You will be able to verify/change this at a later date when submitting official repertoire)
Click if performing for Comments Only
Band Director Name *
Your answer
NAfME ID # and Expiration Date *
Ex: #1111111, 01-01-16
Your answer
Date / Clinic Preference *
Date preferences will be granted primarily by postmark date but are not guaranteed. If enrollment does not warrant both days, we will limit the event to the number of days needed.
School Address *
Your answer
School Phone Number *
Your answer
Band Director Email Address *
Your answer
Band Director Cell Phone Number *
Your answer
I understand that I need to print this page BEFORE hitting submit, and mail along with payment to Phil Homiller and Suzanne Benhart. Prior to the event you will be asked to complete another online form indicating your repertoire and staging needs. *
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