ClinRegEXL.xls
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Arkansas Small School Band Association
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ASBA Clinic Registration/Certification
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Date - Region - Director -
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School - School Phone -
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Email -
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Number of Students@ $per student. Amount Enclosed: $
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PLEASE COMPLETE EXCEL SPREADSHEET - Please be very accurate with the spelling of names!
Clinic fees must be paid before the clinic begins in order for students to play.
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Bring Completed Form Along with Check for Clinic Fees to the Clinic. Make check payable to ASBA.
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NAMEINSTRUMENTNAMEINSTRUMENT
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525
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727
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2040
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We certify that we have checked the eligibility of the students listed, and that they are eligible to represent this school under the rules of AAA and ASBOA.
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__________________________________________
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Director’s Signature
Updated 01/13/13
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