IWU Honor Band Clinic Registration Form

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We are thrilled to hear of your interest in our Second Annual IWU Honor Band Clinic. The Clinic will be held January 19-20, 2024 at Illinois Wesleyan University. Please fill out this registration form, complete the mandatory forms included in your invitation email, as well as paying the $25 participation fee through the payment link.

It is expected that you attend all scheduled events, beginning at 10:00 am on January 19. The final concert will be held the following night, January 20 at 5:30 pm in Westbrook Auditorium in Presser Hall. If you have any conflicts, those should be approved as soon as possible by the Clinic Director, Professor Logan Campbell. He can be contacted at lcampbe2@iwu.edu.

We look forward to having you on campus with us!

Name (First and Last) *

School *

Grade Level *

9th

10th

11th

12th

Instrument *

Student Phone Number *

Student Email *

Emergency Contact #1 Name and Relationship to Student

Emergency Contact #1 Phone Number *

Emergency Contact #2 Name and Relationship to Student

Emergency Contact #2 Phone Number *

Food Allergies, if any?

Accommodations, if needed?

Any further questions?

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