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Educator Online Registration Form

Online Music in Motion registration form for educators

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(adult size)





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Please indicate school's name and address
Please indicate your home phone
Please indicate store name and address
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I wish to attend both days. I will be staying at Gruenhagen Conference Center.

$75.00 -- Two-Day Event Registration (This registration fee includes one dinner, one lunch, appetizers, a Music in Motion t-shirt, and all activities.)

$44.00 -- Single-occupancy for Gruenhagen Conference Center (This fee includes one breakfast)

$119.00 -- TOTAL to be mailed (Check or Money Order Only - No Cash)

I wish to attend both days, but I will not be staying at Gruenhagen Conference Center.

$75.00 -- Two-Day Event Registration (This registration fee includes one dinner, one lunch, appetizers, a Music in Motion t-shirt, and all activities.)

$75.00 -- TOTAL to be mailed (Check or Money Order Only -- No Cash)

I wish to attend Saturday only. I understand there will be no campus accommodations for this option. I also understand that as a one day participant, I will not be a performing member of any festival ensembles.

$60.00 -- One-Day Event Registration (This registration fee includes one lunch, appetizers, a Music in Motion t-shirt, and all activities.)

$60.00 -- TOTAL to be mailed (Check or Money Order Only -- No Cash)

With the submission of this registration form I hereby give permission for images of me, captured during Music in Motion through video, photo, and digital camera, to be used solely for the purposes of University of Wisconsin Oshkosh promotional material and publications, and waive any rights of compensation or ownership thereto.

Please mail check or money order to:

Department of Music/Attn: Music in Motion
University of Wisconsin Oshkosh
800 Algoma Blvd.
Oshkosh, WI 54901

Please make check payable to "UWO Music/Music in Motion"
by musicinmotion last modified Oct 30, 2011 11:55 AM
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