Indiana Percussion Association - Top

 
 
 
 
Please fill out the following Non-Member Application to register as a participating
unit in the 2010 Indiana Percussion Association Competitive Season.
 
Note: You will still be required to submit payment and two additional forms (Homeroom and Non-liability & Release)
through regular US postal mail. These forms will be available after completing this application.
 

  
General Info
 
School/Unit Name:  Principal: 
           
Address: City: Zip:
           
Phone: Fax:  
 

  
Class of Competition  (select one)
 
Scholastic Concert
 		 Scholastic Movement
  		 Independent Movement
 
Scholastic Concert A (PSCA) Scholastic AA (PSAA) Independent A (PIA)
Scholastic Concert Open (PSCO) Scholastic A (PSA) Independent Open (PIO)
Scholastic Concert World (PSCW) Scholastic Open (PSO) Independent World (PIW)
    Scholastic World (PSW)    
 

  
Director / Primary Contact Info
 
Name: Email:
       
Day Phone: Cell Phone:
 

  
Secondary Contact Info
 
Name: Email:
       
Day Phone: Cell Phone:
 

  
Contest Schedule  (check all contests unit will participate in during the 2010 season)
 
  Invitationals/Prelims
  $175.00 each (Third Deadline Passed, Final Deadline is January 24th.)
 		   State Finals
   N/A
 
 
  February 6, 2010
Taylor HS
 
  February 20, 2010
Norwell HS
East Central HS
 
  March 6, 2010
  (WGI Indy Regional)
 
Warsaw HS
New Albany HS
 		  
  March 20, 2010 *
  IPA State Finals
Ben Davis HS
 
  February 13, 2010
Decatur Central HS
 		  
  February 27, 2010
  (State Solo & Ensemble)
  
Greenfield Central HS
 		  
  March 13, 2010 *
   IPA State Prelims
Avon HS
 		  
 
 * Non-Member Units are not eligible for State Prelims or Finals
 
 
   
    Membership Fee

= 

 

Total Invites / Prelims

   

 

= 

 
    State Finals

= 

     
 
    Total Fees = 

 

 

IMPORTANT: Please make a note of the Total Fees amount listed above.
This will be your amount due before non-member status into the IPA is accepted.
 
 
If everything above is correct:  
 
 
 
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