5th Annual ULM Jazz Clinic and Festival

feat. The Tommy Dorsey Orchestra

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School Name: *

Director Name: *

School Address:

School Phone:

Director Cell: *

Director Email: *

Group Name: *

Ensemble Type (jazz ens., combo, vocal ens.): *

Total Number of Participants: *

School Level (select one): *

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Time Slot Requested (not guaranteed! Available times are – 9am, 9:45am, 10:30am, 11:15am, 1pm, 1:45pm, 2:30pm, 3:15pm, 4pm, 4:45pm):

Total Amount Due: $150.00

ULM School of Visual and Performing Arts

Attn: Dr. Nicholas Bratcher

Biedenharn Hall

700 University Ave.

Monroe, LA 71209

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