Xtravaganza Registration Form

***THIS PAGE TO BE COMPLETED BY AUTHORIZED SCHOOL PERSONNEL ONLY !***

Please submit your registration by January 31st, 2012.

Be prepared to input all of your information for this form in one sitting. If you navigate away, you will have to re-input your data. Use the worksheet provided for all calculations and input all numeric fields with final numbers.

NOTE: A separate registration form must be completed for each participating group.

Please download fees worksheet here and remit with payment_

School Name: *
School Phone Number: *
Group Name: *
Division *
Directors Name: *
Directors Email: *
Directors Cell:
Directors Fax:
Secondary Contact/Title:
Secondary Cell:
School Address:
City:
State:
Zip:
Number of soloists @ $45 ea.	One Two
Soloist 1 Name:
Soloist 2 Name:
Payment Includes:	Registration up to 40 Add’l Performers at $10 each Band/Crew/Chaperones @ $10 each Soloists Photo CD
Photo CD *
Number of additional performers @ $10 each *
Number of Band/Crew/Chaperones @ $10 ea. *
Total Number of Student Performers: *
Total Payment:

Registration 2012

Xtravaganza Registration Form