All-State Instrumental Clinic Registration


Sunday, September 7 • 7 p.m.
Grand View University • Luther Memorial Church
1201 Grandview Avenue • Des Moines

All fields in bold are required.

*
Your Name
First
Last
*
Address
Street
City
State
Zip
*
Phone
*
Email
*
Instrument
* Do you want to play during the clinic?
Yes
No
*
Name of Middle School
or High School
*
Current Grade