Route 66 Jazz Festival From

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Email *

School Name *

Director's Name *

School Address *

Director Cell Phone *

Alternate Contact Name and Number

First Band Entry *

First Band Comments or requests *

Second Band Entry

Second Band Comments or requests

Third Band Entry

Third Band Comments or requests

Fourth Band Entry

Fourth Band Comments or requests

Fifth Band Entry

Fifth Band Comments or requests

Payment Info

*Please make checks payable to Duarte High School Falcon Band Boosters and mail to:
Duarte H.S. Falcon Jazz Festival
Attn: Maurice Limon
1565 Central Ave.
Duarte, CA 91010
**Multiple group discount: Big Bands- 1 group $200 2 groups $380 3 groups $560 4 Groups $640
Cancellations after April 4th will not receive a refund

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