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California Band Directors Association

2011-12 Membership and Student Applications

"Band Director: Directions For Completing CBDA Membership and Student Applications" 1. Type in all the required information below. 2. Click "submit" to save and submit forms electronically to CBDA. You can sporadically enter data and submit again at a later date and information will be automatically updated. Clicking "submit" also saves your work. 3. When you finish typing in all information and click the last "submit" button, forms will appear on your screen for printing in hard copy. 4. Print the forms, get the required signatures, and mail with recording(s) and ONE PAYMENT, check, money order or proof of payment via Pay Pal for the total fees (Payable to CBDA) to: Trish Adams, 2410 Knowlwood Dr., Hanford, CA 93230

(General Membership and All-State Applicants)

Director First Name:		Director's Main Instrument:
Director Middle Initial:			New Member Check Here
Director Last Name:		School Name:
Years of CBDA Membership::		School Phone:	()
Home Phone:	()	Principal's Name:
Address:			Past President (NO FEE) Check Here
City:		Fax Number:	()
State:	Select One	School Address:
Zip:		City:
Email Address:		State:	Select One
Confirm Email Address:		Zip:
Password:			I'll help with auditions
	(Use combination of upper and lower case letters and numbers for security purposes)		I'm playing in reading band
Retype-Password:			Do not publish my home contact information in the Directory
(The password creates your online account and will allow you to add/delete/edit data at a later time.)			Do not share my email with third parties. (colleges, universities, music camps)
Payment for Membership Fees
Membership Only Membership with CD submission (only CD's are accepted) Director's Annual Membership Dues: (CBDA Dues Only) Membership from Dec. 10 - Nov. 11 (Required for CDs) TAPES NO LONGER ACCEPTED Dues are $50.00 unless otherwise noted below Active Elementary School Band Director Associate Member Active Middle/Junior High Band Director Retired Band Director ($25.00) Active High School Band Director College Student ($10.00) Active College Band Director Past President/LifeMember ($0.00) Music Administrator Associate Institutional (Music Industry) Already a Current Member(if adding an additional school - subject to verification) $ $50 Conference Fee: Registration fee $ $85 Banquet attending @ $35.00 per person $ Banquet $35.00 (optional) School Fee: (required of all schools submitting CDs ONLY) $ (Required for CDs) $55.00 Student Fees: Student 1 Information DELETE STUDENT Band: Select One Instrument: Select One Student First Name: Student Middle Initial: Student Last Name: Home Phone: ()     Address: City: State: CA Zip: Parent Email: Current Grade: Select One Year You Graduate High School: Select One Also Auditioning on: (Students auditioning for concert and jazz only) Select One Additional Ensemble Band: Select One Instrument: Select One Please feel free to give my name and address to colleges, universities, and music camps ADD STUDENT $ (Required for CDs) 2 Fees Required when same student applies for Concert and Jazz Band Donations to the Don Schmeer Scholarship Trust Fund $ Enter Donation TOTAL (CDs are not accepted unless director is current CBDA member) $ One Payment Please All fees non-refundable
Payment Options: Payment by Check Money Order Credit card (PayPal)