LMEA District 4 Assessment 2023
Still must have principal's signature on the paper copy accompanying your check.  Due February 21st.
Please fill out this form for each ensemble that will be performing.
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Email *
I plan to participate *
School Name (as it will appear on your form) *
Name of Ensemble (ex - Wind Symphony or Concert Band) *
Select one of the following *
Day Request *priority will be given to groups based on when I receive your form, check and NAfME membership card.*

As a reminder, middle schools will go before lunch & high school programs will go after lunch.
 *
Reason for date request
Time request (we typically start warm-up around 8:00 am and go as late at 5:00 pm).  I CAN NOT guarantee that a request will be honored.  Please only request if busing is an issue (and you are unable to get a charter or stay until the bus can come back to get you, etc.) or there is a major conflict with school.  Provide as many details about why you are requesting the time.   Be understanding if it can't happen!
Band Room or Office Phone *
Director's Name *
Director's Cell Phone *
Director's E-mail *
NAfME ID *Must attach a photocopy with check or application *
NAfME ID Expiration Date *
Number in group *
Lowest Grade Represented *
Highest Grade Represented *
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