SMITH WALBRIDGE
DIRECTOR WORKSHOPS 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 following address. 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, mail in a minimum refundable deposit of $75.00 (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 credit card payment options fill out the fields located at the bottom of the form.
credit cards supported

You may select multiple workshops if the dates are not the same.
We respect your privacy. All your information will remain confidential and will not be sold or shared with any third party entities.

* Indicates required fields
First Name: *
Last Name: *
Classification: * Director Sponsor
Age:
Gender: * Male Female
Home Telephone: *
Home Address: *
City: *
State: *
Zip: *
School Name: *
School Phone: *
School Address: *
City: *
State: *
Zip: *
Tuition paid by: *
Roommate name: (one only) *
prefer no roommate, $50 extra charge
E-mail Address: *
MARCHING BAND METHODS WORKSHOP: JUNE 26-29, 2008
Choose Rate
$295.00: Resident
$195.00: Commuter

Discount Rates
$147.50: Half-Price Resident for those sending 10-19 students to any combination of our clinics
Free Resident: for those sending 20 or more students to any combination of our clinics
$97.50: Half-Price Commuter for those sending 10-19 students to any combination of our clinics
Free Commuter: for those sending 20 or more students to any combination of our clinics

Instrument:

+ Residential fees include: Instruction, housing and all meals
+ Commuter fees include: Instruction, lunch and dinner
DRILL DESIGN WORKSHOP: JUNE 26-29, 2008
Choose Rate
$295.00: Resident
$195.00: Commuter

Discount Rates
$147.50: Half-Price Resident for those sending 10-19 students to any combination of our clinics
Free Resident: for those sending 20 or more students to any combination of our clinics
$97.50: Half-Price Commuter for those sending 10-19 students to any combination of our clinics
Free Commuter: for those sending 20 or more students to any combination of our clinics

Computer
I need to reserve a workstation in the computer lab. (30 workstations available for Drill Design Workshops).
I am bringing my personal laptop computer.

+ Residential fees include: Instruction, housing and all meals
+ Commuter fees include: Instruction, lunch and dinner
OPTIONAL COLLEGE CREDIT / CPDU UNITS: Applies for Drill Design and Marching Band Methods Workshops
Choose Rate
$470.00: 2 Undergraduate credits by EIU for MUS 4980
$490.00: 2 Graduate credits by EIU for MUS 4980
$40.00: 6 Continuing Education Units (= 30 CPDU credits) for Illinois teachers
CONDUCTING WORKSHOP: July 11-13, 2008
Choose Rate
$190.00: Resident
$160.00: Commuter
OPTIONAL COLLEGE CREDIT / CPDU UNITS: Applies for Conducting Workshop
Choose Rate
$235.00: 1 Undergraduate credit by EIU for MUS 4980
$245.00: 1 Graduate credit by EIU for MUS 4980
$40.00: 6 Continuing Education Units (= 30 CPDU credits) for Illinois teachers
Optional Credit Card Payment

credit cards supported

You will receive an e-mail within a few hours if placed during business hours with a Paypal invoice
of the amount due that will allow you to securily pay online with your credit card.
A minimum of $75 deposit is required. Please specify amount you want to pay here.

E-mail address to send bill to
Amount to charge $

Note: You do not need to have an existing 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: (800) 285-1487 Fax: (866) 401-4406 E-mail: swclinics@swclinics.com
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