SMITH WALBRIDGE CLINICS / WORKSHOPS
STUDENT ENROLLMENT FORM
HOW TO ENROLL
To register, the following application form can be completed and submitted online by pressing the "Submit Form" button on the bottom of page, or it can be printed and mailed to the address below. You may select one or more workshops to attend as long as the dates do not coincide. DISCOUNTS will be applied only at registration. To complete the application process, you may pay by credit card as instructed below, or mail in a check. Minimum deposit is $75.00, or you may choose to pay a larger amount. (Make checks payable to: Smith Walbridge Clinics), which will be deducted from the total fee to:

Smith Walbridge Clinics
P.O. Box 748
Savoy, IL 61874

A PDF print version is available for download. Click here and print as many copies as you need. Fill out and mail in your form with payment. Adobe Acrobat Reader is required to open form. You can download it for free below.



For optional credit card payments, fill out the fields located at the bottom of this form.

credit cards supported
You may select multiple clinics or workshops provided they are not on the same dates.

We respect your privacy. Your information will remain confidential and not be sold or shared with any third party entities.

* Indicates required fields
First Name: *
Last Name: *
Age: *
Gender: * Male Female
Home Telephone: *
Home Address: *
City: *
State: *
Zip: *
School Name: *
Director's Name: *
School Phone: *
School Address: *
City: *
State: *
Zip: *
Tuition paid by: *
Roommate name: *(one only)
E-mail Address: *
(PRIVACY: For SWC use only!)
MARCHING BAND CLINIC: July 6-9, 2010
Choose Rate
$280.00 Resident ( Instruction, housing, and all meals ).
$210.00 Commuter ( Instruction, lunch, and dinner )

Instrument:
MARCHING PERCUSSION CLINIC: July 6-9, 2010
Choose Rate
$280.00 Resident ( Instruction, housing, and all meals ).
$210.00 Commuter ( Instruction, lunch, and dinner )

Instrument:
FLAG AND RIFLE CLINIC: July 6-9, 2010
Choose Rate
$280.00 Resident ( Instruction, housing, and all meals ).
$210.00 Commuter ( Instruction, lunch, and dinner )
Choose What You Use
Flag
Rifle
MINI MACE AND SIGNAL BATON WORKSHOP: July 16-18, 2010
Choose Rate
$210.00 Resident ( Instruction, housing, and all meals ).
$180.00 Commuter ( Instruction, lunch, and dinner )
Choose Skill Level
Beginner
Intermediate
Advanced
STUDENT LEADERSHIP WORKSHOP: July 9-11, 2010
Choose Rate
$210.00 Resident ( Instruction, housing, and all meals )
$180.00 Commuter ( Instruction, lunch, and dinner )
$105.00 Resident ( Half price for those attending other clinics )
$90.00 Commuter ( Half price for those attending any other clinic )
DRUM MAJOR CLINIC - Session I: July 11-16, 2010
Choose Rate
$460.00 Resident ( Instruction, housing, and all meals ).
$345.00 Commuter ( Instruction, lunch, and dinner )
Choose Style
Corps
Traditional
Mace
DRUM MAJOR CLINIC - Session II: July 18-23, 2010
Choose Rate
$460.00 Resident ( Instruction, housing, and all meals ).
$345.00 Commuter ( Instruction, lunch, and dinner )
Choose Style
Corps
Traditional
Mace
Optional Credit Card Payment

credit cards supported

If you select this payment option you will receive a PAYPAL invoice in your e-mail during our business hours.
This will allow you to security pay online with your credit card. If you choose to mail in a check, do not use this option.
A minimum of $75 deposit is required. Please specify amount you want to pay below:

E-mail address to send bill to
Amount to charge

Note: You do not need to create a Paypal account to make payment.
Type comments and questions into the area below:



How did you hear about us?
 Web Search Brochure Referral

Follow Up Information
If you have not received our follow up information within two weeks after submitting application, please contact us.
Refund Policy
Refunds (minus a $25.00 service fee) will be issued to those who cancel within 24 hours prior to clinic. There are no refunds for students who leave early from the clinic.
Phone: (217) 352-4262 Fax: (866) 401-4406 E-mail: swclinics@swclinics.com
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