2011 Roseville Winter Jazz Blast Registration Form

REGISTRATION FORM

2011 Roseville Winter Jazz Blast
Middle School & High School Jazz Festival
January 14, 2012
Maranatha Hall, Northwestern College

Registration Deadline is November 5, 2011


	Director Name:

	School Name:

	School Address:

	Phone Number:

	Email Address:

	Type of Ensemble:

Number of Members in Ensemble:

	DEADLINE FOR REGISTRATION IS TBD REGISTRATION IS LIMITED REGISTRATION FEE IS $150.00* PER BAND. Registration fee will be waived if ensemble is staying in Roseville hotel Please make check payable to: Roseville Visitors Association* *Hotel discounts are available. Please contact the Roseville Visitors Association at 877-980-3002 or shirstein@visitroseville.com for special Roseville Winter Jazz Blast rates. Please submit registration form with payment to: Roseville Visitors Association Attention: Julie Wearn Rosedale Towers 1700 W. Highway 36, Suite 405 Roseville, MN 55113