VMEA DISTRICT VII BAND DIRECTOR REGISTRATION FORM

Complete and email or fax

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Last Name: ________________________  First Name: ________________________

School System: ________________________ School Phone: ___________________

Home School: _________________________  Band Room Phone: ________________

School Address: ______________________________________________________

City: _________________ Zip: _______ Your School email: ____________________

Home Phone: ___________________  Home E-Mail: ___________________________

Major Instrument: ____________________________________________

Office Hours (Best time to call): ________________________________

Please List All Other Schools Where You Teach:

_______________________________________ Phone: _____________

_______________________________________ Phone: _____________

MAIL:            
Cindy Roberts
Wallace Middle School
13077 Wallace Pike
Bristol, VA 24202

FAX:  
276-645-2365 (Wallace Middle School)

EMAIL:  
croberts@wcs.k12.va.us