Camp and Clinic Request Form
Once completed, a price quote and contract will be sent via e-mail within 2-3 business days.
| Your Name/Title | |
| School Mailing Address | |
| City/State/Zip | / / |
| E-mail address | |
| Office phone # | |
| Alternate phone # | (indicate cell or home) |
| Fax # | |
| Type of Requested Service: |
Summer Camp (marching) Summer Camp (drumline) Summer Camp (music) Winter Drumline Camp Marching Percussion Clinic Consulting Workshop Judging (music) Judging (marching) Judging (percussion) |
| Date(s) of Requested Service | |
| Approx. Hours (per day) devoted to Service |
Other Information:
| Will any writing or creative design work be required during the services? (if yes, please also fill out appropriate music arranging or drill design request form) |
Yes No |
| Do you agree to provide for clinician / judge transportation and housing? | Yes No |
| What is your preferred form of payment? |
Credit Card Check Money Order |
| How will payment be secured? |
School Purchase Order Band / Booster Fund Other |
| Comments / Questions: |
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