ARKANSAS SCHOOL BAND & ORCHESTRA ASSOCIATION SCHOOL
REGISTRATION STATEMENT 2021-2022
Please send in a SEPARATE form for EACH DIRECTOR –
The money for all directors may be combined into one check.
List only the organizations to be listed with this director.
Please type or print. – PLEASE fill in ALL requested information.
1. Region: 2. Director:
3. School:
In addition to submitting this form, you MUST :
1 – Complete all other contact information online
2 – Submit a Classification Form for EACH registered group to the ASBOA office and your Region Chair
3 – Submit Eligibility to your Region Chair ONLY
We enclose Participation Fees for the following school organizations: Please fill in completely!
Please LIST name of each organization you are registering
Please include – MS, JR or SR
Please LIST
Classification
Amount
/BEG $ 75.00
$140.00
$140.00
$140.00
$140.00
Please check if included:
Senior High All-Region Jazz Participation Fee
$ 75.00
Senior High All-State Chamber Orchestra Participation Fee (Orchestr
as Only)
$ 75.00
Individual Director Membership (Optional but encouraged)
$ 5.00
LATE FEE – Not Postmarked by September 30 ($10.00 PER DAY not to exceed $150.00)
TOTAL AMOUNT ENCLOSED FOR THIS DIRECTOR
’S ORGANIZATIONS
(Please remember to enclose a classification form for each group)
DUE SEPTEMBER 15
TH --
DEADLINE FOR PAYMENT OF FEES IS SEPTEMBER 30
TH
.
ONLY SCHOOLS WHOSE FORMS AND FEES ARE IN BY SEPT 30
TH
WILL BE INCLUDED IN THE ROSTER.
SCHOOLS WHOSE FORMS/FEES ARE NOT IN BY OCT 15
TH
WILL BE INELIGIBLE FOR THE SCHOOL YEAR.
Make check payable and send to:
(Please make sure that your office
has this address for ASBOA!)
Arkansas School Band and Orchestra Association
PO Box 2024
Russellville, AR 72811
FAX 501.421.7994
julia.reynolds@atu.edu
FOR OFFICE USE ONLY
PURCHASE ORDER FROM: CHECK #
# CASH
REC’D NOTES: REC’D
AMT AMT
Beginning Only
