CENTRAL NEW YORK DAY OF PERCUSSION

PRE-REGISTRATION FORM

NAME_______________________ E-MAIL ADDRESS____________

SCHOOL______________________ HOME PHONE NO.__________________

BAND DIRECTOR/PRIVATE TEACHER_______________________________

HOME ADDRESS_________________________________________________

CITY_____________________ STATE____________ ZIP_________________

ARE YOU A MEMBER OF PAS? YES OR NO (Circle One)

Lunch will be available in the cafeteria. Usually this is pizza or subs provided for a modest cost. Soda, Chips and Candy will also be available at lunch and throughout the day.

Send form and check to:

Dr. Rob Bridge

OCC - Music

4941 Onondaga Road

Syracuse, NY 13215

Make checks payable to OCC