Educator Online Registration Form — UW Oshkosh Department of Music

PERSONAL INFORMATION

First Name (Required)

Middle Name (Required)

Last Name (Required)

State your instrument or voice (Required)

E-mail (Required)

T-Shirt Size (Required)

(adult size)

S
M
L
XL
XXL

MAILING ADDRESS

Street Address (Required)

City (Required)

State (Required)

Zip/Postal Code (Required)

Employment Information

I Teach at a School

Please indicate school's name and address

I Teach Privately

Please indicate your home phone

I Teach Lessons in a Music Store

Please indicate store name and address

What ages/grades do you teach? (Required)

Work Phone Number (Required)

HOUSING

Do you plan to stay overnight in Gruenhagen Conference Center? (Required)

Yes
No

Gender (Required)

Male
Female

Will you need to park a car on campus? (Required)

Yes
No

Do you have any special meal requirements?

Vegetarian
Vegan
Kosher
Diabetic

Other meal requirements?

EDUCATOR REGISTRATION OPTIONS

OPTION 1: On-Campus Two-Day Overnight Participant

I wish to attend both days. I will be staying at Gruenhagen Conference Center.

$70.00 -- 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)

$114.00 -- TOTAL to be mailed (Check or Money Order Only - No Cash)

OPTION 2: Off-Campus Commuter Two-Day Participant

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

$70.00 -- Two-Day Event Registration (This registration fee includes one dinner, one lunch, appetizers, a Music in Motion t-shirt, and all activities.)

$70.00 -- TOTAL to be mailed (Check or Money Order Only -- No Cash)

OPTION 3: Off-Campus Commuter One-Day Participant

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.

$55.00 -- One-Day Event Registration (This registration fee includes one lunch, appetizers, a Music in Motion t-shirt, and all activities.)

$55.00 -- TOTAL to be mailed (Check or Money Order Only -- No Cash)

PAYMENT

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"