School Name:

Director Name:

Director Email:

Phone:

Address:

City: State: Zip Code:

There is a $150 entry fee and $90 entry fee for each additional band entering the jazz festival. Pleasemake checks payable to Pendleton Hieghts High School (PHHS). Entry fee payments should be mailed to: Pendleton Heights High School Attn: Chris Taylor 1 Arabian Dr. Pendleton, In 46064

Ensemble Name: (as it should appear in the program)

Ensemble Bio (may be submitted at a later time)

The application and entry fee for the 2012 Madison County Jazz Festival must be submitted and mailed by December 11, 2011.

I, agree

I, agree

Scheduling Questions / Comments:

WebFormDesigner